sites of upper motor neurone signs

Last reviewed 01/2018

The site of an upper motor neurone lesion determines the distribution of the deficit seen. Thus:

  • peripheral hemisphere lesion - this will cause a contralateral monoparesis

  • deep hemisphere lesion - this will cause a contralateral hemiparesis

  • cervical spinal cord lesion - causes a paraparesis

  • midbrain, pons, brainstem or upper cervical cord - this leads to a tetraparesis