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State the clinical features seen in lower motor neuron lesions

Question

State the clinical features seen in lower motor neuron lesions

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Solution

Lower motor neuron (LMN) lesions can present with a variety of clinical features, including:

  1. Muscle Weakness: This is often one of the first signs of a lower motor neuron lesion. The weakness is usually most pronounced in the distal muscles, which are those furthest from the center of the body.

  2. Muscle Atrophy: This is a reduction in muscle mass due to the loss of motor neurons. It can lead to visible thinning of the muscles.

  3. Fasciculations: These are involuntary muscle twitches that are caused by the spontaneous firing of a lower motor neuron.

  4. Hypotonia: This is a decrease in muscle tone, which can make the muscles feel soft and floppy.

  5. Hyporeflexia or Areflexia: This is a decrease or absence of reflexes. It's caused by the loss of the reflex arc, which is the nerve pathway that mediates reflexes.

  6. Negative Babinski's sign: Unlike upper motor neuron lesions, lower motor neuron lesions are associated with a down-going (flexor) response to the Babinski's sign test.

Remember, the exact symptoms can vary depending on the location and extent of the lesion.

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