Abstract
A detailed clinical analysis of spastic conditions shows that spasticity is not one homogeneous phenomenon. There are multiple clinical presentations of it, in particular: 1) in its selective distribution over different muscle groups in a given limb, 2) in its selective response to various natural stimuli, 3) in its time course characteristics, with the absence, but more often with the presence, of a spasticity-free interval of a few months after the lesion, and 4) in the location of the causative lesion(s). These lesions have been seen in regions as widely spread and diverse as the central and premotor cortices or their cortico-spinal fibres, the brain stem motor centres or their descending pathways, and the spinal cord.
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Jeanmonod, D. (1991). Neuroanatomical bases of spasticity. In: Sindou, M.P., Abbott, I.R., Keravel, Y. (eds) Neurosurgery for Spasticity. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6708-3_1
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DOI: https://doi.org/10.1007/978-3-7091-6708-3_1
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