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hi like that with another neurology video today member if you like this video please subscribe to the channel like and share much as you can see you have many more videos like this medical exam revision now this video is all about upper and lower motor neuron lesions what kind of size might we get if a patient presents with something like this now in general think about upper mode new religions going up with up going arrow and lower motor new religions going down with a downward facing lower iris so lets top upper motor neuron lesions first now you getting weakened so you get weakness in both with upper and lower motor but we get to start with increased tone so high levels of tone spasticity can often present without the motor new religion your reflexes go up so you have brisk reflexes in upper motor neuron using your plantar response goes up your Babinski response is positive so your toe goes up when you test for plantar reflex no particular so nothing going on with the muscles twitt