Lesion in medial area 6
Supplemntory motor area lesion lead to1: loss performing of complex movements2- inability to direct and vo ordinate the hands correctly during bilateral bimanual hand movement
Exner’s area
It’s the hand skilled area for complex hand movement
Lesion in area 44 Broca’s
Motor aphasia
Lesions on lateral area 6 Premotor
Moto apraxia (loss program of movement with no paralysis)1- Reappear grasp reflex2- +Ve Babinski (fan 4 lateral toes )3- hypertonia , hyperreflexia4- loss subconscious automatic movements
Area 4 lesionPrimary motor
Monoplegia of distal muscle loss fine movementHypotonia and hyporeflexia+Ve Babinski sign (dorsiflexion of big toe) Loss superfacial reflexes