Dysphonia-Clumsy Hand Syndrome

The patient has severe dysphonia, difficulty swallowing, and a central facial tongue paralysis on one side, with mild hand weakness associated with slow and awkward movements (especially fine movements such as writing are more difficult). Stable, hypertenoid reflex and pathological reflex positive. The lesion is located at the junction of the upper 1/3 and the lower 2/3 of the basal base of the pons, and there may be ipsilateral ataxia.

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