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abnormal acute agents Alzheimer’s disease aneurysm aphasia apraxia artery associated ataxia axons bilateral bladder blood brain imaging brain injury brain tumors brainstem Broca’s Broca’s aphasia carotid cause cerebellar cerebral cervical chronic clinical cognitive common compression contralateral cortex cranial nerve deficits delirium dementia demyelinating differential diagnosis diplopia discussed in Chap disorders distal dose drug dysarthria dysfunction dysphagia dystonia epilepsy epileptic essential tremor facial focal frontal function gait genetic headache hemiparesis hemorrhage infarction intracranial involvement ipsilateral JAMA lesions limb lobe lumbar Mayo Clin Proc meningitis migraine motor neuron movements MRI scan multiple sclerosis muscle myasthenia myopathies nerve root nervous system neurological examination neuropathic pain normal occasionally occur onset optic paresthesias Parkinson’s disease patients pattern peripheral neuropathy posterior reflexes seizures sensation sensory loss side sleep speech spinal cord symptoms and signs syncope syndrome temporal therapy tion treatment usually vascular vertigo visual weakness