*Not: Spasticity and hyper-reflexia may not be present at ACUTE setting

• Muscle Weakness
• Tone: High
  • Spasticity
• Bulk: Normal
• Power: Diffused weakness with
  • extensor > flexor in upper limb
  • flexor > extensor in the lower limb
  • (*> means weaker)
• Reflex: Increased
  • Hypereflexia
• Special tests
  • Pronator Drift
  • Hoffman's Sign
  • Positive Plantar Response
  • Ankle clonus

DDx

• !Stroke (CVA)
• !Myelopathy

Treatment

Baclofen for Spasticity

Botox Injection