Does infarction of the medullary pyramid lead to spasticity?
G. W. Paulson, A. J. Yates and J. D. Paltan-Ortiz
A 60-year-old patient developed leg weakness leading to spasticity,
secondary to a sharply localized infarction of the medullary pyramids.
Within a month, spasticity had replaced the initial flaccidity. Several
years later, rupture of an atherosclerotic aneurysm of the basilar artery
led to subarachnoid hemorrhage and eventual death.