With a lesion in the brainstem, this affects the majority of limb and trunk muscles on the contralateral side due to the upper motor neurons decussation after the brainstem. The cranial nerves and cranial nerve nuclei are also located in the brainstem making them susceptible to damage from a brainstem lesion.
The macchiato (mah-key-AH-toe) is a cornerstone of Italian coffee culture, along with the espresso and cappuccino, among other coffee drinks. So really, you could look at it as a cross between an espresso and a cappuccino.
A petechia, plural petechiae, is a small (1â2 mm) red or purple spot on the skin, caused by a minor bleed (from broken capillary blood vessels). Petechia refers to one of the three descriptive types of bleeding into the skin differentiated by size, the other two being purpura and ecchymosis. Petechiae are by definition less than 3 mm. The term is almost always used in the plural, since a single lesion is seldom noticed or significant.