Paraparesis, paraplegia, quadriparesis, and quadriplegia are sequelae of bilateral damage to the corticospinal tracts. Causes include spinal lesions such as spinal cord compression from tumors or diseases like multiple sclerosis, and cerebral lesions from conditions like cerebral palsy. Spinal cord compression is a medical emergency that requires early diagnosis and treatment to prevent permanent neuronal damage. Symptoms depend on the anatomical level and nature of the pathology, and may include pain, weakness, sensory changes, and urinary or bowel dysfunction. Magnetic resonance imaging is the primary diagnostic tool to localize and characterize lesions. Management involves treating any underlying condition causing compression, and rehabilitation to prevent complications and maximize functioning