<P> In a few cases, lesions above the medulla have resulted in ipsilateral hemiparesis: </P> <Ul> <Li> In several reported cases, patients with hemiparesis from an old contralateral brain injury subsequently experienced worsening of their hemiparesis when hit with a second stroke in the ipsilateral brain . The authors hypothesize that brain reorganization after the initial injury led to more reliance on uncrossed motor pathways, and when these compensatory pathways were damaged by a second stroke, motor function worsened further . </Li> <Li> A case report describes a patient with a congenitally uncrossed pyramidal tract, who developed right - sided hemiparesis after a hemorrhage in the right brain . </Li> </Ul> <Li> In several reported cases, patients with hemiparesis from an old contralateral brain injury subsequently experienced worsening of their hemiparesis when hit with a second stroke in the ipsilateral brain . The authors hypothesize that brain reorganization after the initial injury led to more reliance on uncrossed motor pathways, and when these compensatory pathways were damaged by a second stroke, motor function worsened further . </Li> <Li> A case report describes a patient with a congenitally uncrossed pyramidal tract, who developed right - sided hemiparesis after a hemorrhage in the right brain . </Li>

What are the signs and symptoms of hemiplegia