“…This commonly translates into the immediate but usually transient extinction of most spinal reflex responses, including stretch reflexes, which manifests itself clinically by an initial flaccidity 139, 177, 218. In a minority of cases, flaccidity persists chronically after occurrence of a central lesion, e.g., with some spinal cord infarcts25, 132, 193 or cerebral lesions 177. Persistent flaccidity is often associated with a greater degree of paresis and poorer outcome,36, 79, 82, 133, 177, 197, 221 although this is not always the case 159, 201.…”