Which clinical finding in a person will help a nurse distinguish between pyramidal motor syndromes and extrapyramidal motor syndromes? Extrapyramidal moter syndromes will have paralysis. A Babinski sign occurs in pyramidal motor syndromes. Pyramidal motor syndromes will have cogwheel rigldity with hypotonia. Absence of imoluntary movement eccurs in extrapyramidal motor syndromes.