Her last menstrual period was 8 weeks ago.
e hyperreflexia, spastic paralysis, increased muscle tone, clasp-knife rigidity (increased muscle tension with sudden release on passive flexion), and pyramidal weakness (weakness is more pronounced in lower extremity flexors and upper extremity extensors). Upper extremity supination is also typically weaker than pronation, resulting in pronator drift.
impairs thalamic stimulation of the motor cortex,
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