Point 7
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There is an IPSILATERAL Horner's Syndrome (ptosis, miosis, dry face, etc.). The interruption of the descending sympathetics (that no longer pass to regions of the spinal cord below T1) means that there is no sweating on the entire IPSI side of the body. As you can see from the figure to the left, there are several spinal cord pathways that we have not discussed. These pathways will be covered in the next few weeks. Right now, realize that a lesion of the LCST, following a stroke, will not disrupt all descending motor control. You may have seen such patients and it is clear that there is some motor control that is conveyed via several of the pathways labeled below. |