Lower Motor Neuron Lesion - Symptoms

Symptoms

  • Muscle paresis or paralysis
  • fibrillations
  • fasciculations
  • hypotonia or atonia- Tone is not velocity dependent.
  • Areflexia or hyporeflexia -Along with deep reflexes even cutaneous reflexes are also decreased or absent
  • Strength -weakness is limited to segmental or focal pattern, Root innervated pattern

The extensor Babinski reflex is usually absent. Muscle paresis/paralysis, hypotonia/atonia, and hyporeflexia/areflexia are usually seen immediately following an insult. Muscle wasting, fasciculations and fibrillations are typically signs of end-stage muscle denervation and are seen over a longer time period. Another feature is the segmentation of symptoms - only muscles innervated by the damaged nerves will be symptomatic.

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