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As far as I can tell, the spastic paresis can be contra or ipsilat depending on how the crus cerebri are compressed/distorted. In fact, I believe nbme7 had a q where a guy fell and hit his head and had all signs of one with contrlateral hemiparesis. Just looking for confirmation here. I think we actually learned in class that ipsilateral crus distortion with contralateral symptoms was just as common.