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abnormal absent acute affected ankle appearance artery ataxia atrophy bilateral brachial brain stem cause cerebellar cerebral cervical clinical complaint compression congenital cranial nerves degeneration diabetes diagnosis diplopia disorder distal drug epilepsy episodes examination facial fibres fingers flexed flexion flexor foot drop forearm gait haemorrhage hand hemiplegia Horner's syndrome hysterical impairment injury involvement jerks knee later lesion lower limbs lumbar median nerve ment motor neurone disease movements multiple sclerosis muscles muscular myasthenia gravis myelography myopathy neck nerve palsy nervous system neuritis neurological neuropathy normal numbness nystagmus occur ocular onset ophthalmoplegia pain papilloedema paraesthesiae paralysis paraplegia paresis Parkinsonism patient plantar responses plexus polyneuritis posterior posture progressive ptosis pupil rare reflexes result root seen sensation sensory loss shoulder side signs slight spasm spastic spinal cord spondylosis symptoms syndrome syringomyelia tion toes tremor trigeminal tumour ulnar nerve unilateral upper limb usually vertigo vision visual wasting weakness wrist