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.
minchia means cock (not penis) in sicilian dialect even if well understood and partially used in the rest of italy, expecially south-side. Alltought when it's used in the north of Italy or in the rest of the world it gives a sicilian connotation to the sentence. It's a female noun (in italian every noun has a genre) but it's not the only example of italian that words describing genital organs while having the opposite grammatical genre. General use, apart the litteral one, is - as for cazzo - to get sentence stronger as in english is done with fuck.