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Signs and symptoms Paralysis of the contralateral face, arm, and leg Sensory impairment over the contralateral face, arm, and leg (pinprick, cotton touch, vibration, position, two-point discrimination, stereognosis, tactile localization, baragnosis, cutaneographia) Motor speech disorder Central aphasia, word deafness, anomia, jargon speech, alexia, agraphia, acalculia, nger agnosia, right-left confusion (the last four comprise the Gerstmann syndrome) Apractagnosia (amorphosynthesis), anosognosia, hemiasomatognosia, unilateral neglect, agnosia for the left half of external space, dressing apraxia, constructional apraxia, distortion of visual coordinates, inaccurate localization in the half eld, impaired ability to judge distance, upside-down reading, visual illusions Homonymous hemianopia (often superior homonymous quadrantanopia) Paralysis of conjugate gaze to the opposite side Avoidance reaction of opposite limbs Miscellaneous: Ataxia of contralateral limb(s) So-called Bruns ataxia or apraxia of gait Loss or impairment of optokinetic nystagmus Limb-kinetic apraxia Mirror movements Cheyne-Stokes respiration, contralateral hyperhidrosis, mydriasis (occasionally) Pure motor hemiplegia

Structures involved Somatic motor area for face and arm and the bers descending from the leg area to enter the corona radiata Somatosensory area for face and arm and thalamoparietal projections Broca and adjacent motor area of the dominant hemisphere Central language area and parieto-occipital cortex of the dominant hemisphere Usually nondominant parietal lobe Loss of topographic memory is usually due to a nondominant lesion, occasionally to a dominant one

In 20 years in the nancial world my experience has led me to believe certain things about investors and markets As a nancial professional there are days I walk out of the of ce on top of the world I am a genius At about 8:30 am the next morning the market has changed my opinion, and I am now the stupidest person ever to walk the earth These are the markets; it is not easy If it was easy, everyone would be driving a Ferrari There are the cynics among us who believe that the market is completely manipulated; others believe it is completely random

One advantage that Xcelsius has over the WAD is that it offers additional types of objects, some of which are shown on the left side of the preceding illustration You can see

Optic radiation deep to second temporal convolution Frontal contraversive eld or bers projecting therefrom Parietal lobe Parietal lobe Frontal lobes (bilateral) Supramarginal gyrus or inferior parietal lobe Premotor or parietal cortical damage Precise location of responsible lesions not known Precise location of responsible lesions not known Upper portion of the posterior limb of the internal capsule and the adjacent corona radiata

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