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weakness, caveat (umn) cortical: eg cortical foot drop, cortical wrist…

- - - - consider pattern of weakness
        
        myotomal
        
        radiculopathy
        
        multiple nerve
        
        plexopathy
        
        nerve
        
        neuropathy
  - - - contralateral brainstem
      - ipsilateral hemicord
        eg brown sequard syndrome
      - contralateral cerebrum
  - - - consider presence of sensory level
        
        present
        
        cauda equina, conus medullaris
        
        spina bifida
        
        absent
        
        consider pattern of weakness
        
        proximal
        
        consider presence of wasting
        
        present
        
        1 more item...
        
        absent
        
        1 more item...
        
        distal
        
        nerve
        
        ahc
    - - consider presence of sensory level
        
        present
        
        myelopathy
        
        absent
        
        cerebral palsy
        
        hereditary spastic paraplegia
        
        some myelopathy eg central cord syndrome