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What are the symptoms associated with a lower motor neuron injury? 

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This further illustrates the extent to which upper motor neuron damage in ALS is usually a distal axonopathy.
Depending on the associated clinical symptoms and signs, they may signify the presence of a variety of disorders of the lower motor neuron.
These observations refine previous clinical descriptions of upper motor neuron weakness and have implications for its pathophysiology.
The present case and two reported similar cases may constitute a new subgroup of motor neuron disease.
In conclusion, this finding may reflect a functional reorganization of the motor area in patients with a primary motor cortex injury.

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