Κατά την υπερπυρηνική παράλυση, κατά τη διαδρομή της αρρώστιας το ιδιαίτερο χαρακτηριστικό είναι οι αργά αυξανόμενες διαταραχές της βάδισης οι οποίες δεν επιτρέπουν σωστά βήματα και κυρίως μικραίνουν το εύρος του βήματος.
Είναι χαρακτηριστικό ότι οι διαταραχές της βάδισης, ιδιαίτερα όταν έχουμε και στοιχεία πυραμιδικής διαταραχής, ξεκινάνε από το μετωπιαίο λοβό όπου βρίσκεται και η έδρα των πυραμιδικών κυττάρων.
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