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15 Possible Causes for Abnormal Gait, Deep White Matter Changes, Unilateral Facial Weakness

  • Stroke

    Early features include: loss of grey-white matter differentiation, and hypoattenuation of deep nuclei: lentiform nucleus changes seen as early as 1 hour after occlusion, visible[radiopaedia.org] Asymmetric step length is a common abnormal gait pattern in hemiplegic stroke patients.[ncbi.nlm.nih.gov] […] movement 0—Normal 1—Minor facial weakness 2—Partial facial weakness 3—Complete unilateral palsy 5 Motor function (arm) 0—No drift a.[doi.org]

  • Pineal Gland Cyst

    Today I received my results stating I have a few like foci of increased T2 signal in the deep periventricular white matter regions.[healthcaremagic.com] These are compatible with ischemic/gliotic changes, or could represent the sequela of migraine headaches. It also states I have a small simple pineal cyst ...[healthcaremagic.com]

  • Primary Progressive Multiple Sclerosis

    Consistent with this reduction, we showed that changes in diffusion indices of tissue damage within major clinically relevant white matter (corpus callosum and corticospinal[ncbi.nlm.nih.gov] A key symptom associated with PPMS is difficulty walking. This may result from the damage to the spinal cord that occurs with PPMS.[medicalnewstoday.com] People with PPMS may have trouble with balance and coordination or have difficulty walking.[healthline.com]

  • Reversible Ischemic Neurologic Deficit

    Subacute and chronic infarcts, vasogenic edema, the punctate and confluent changes of deep white matter ischemia, and dilated VR spaces are not bright.[spinwarp.ucsd.edu] abnormality and incontinence (see Chapter 16 ).[dartmouth.edu] […] cerebral ischemia, diffusion-weighted images are very helpful to identify any area of acute ischemia and to separate the acute infarction from old strokes and other chronic changes[spinwarp.ucsd.edu]

  • Autosomal Dominant Progressive External Ophthalmoplegia Type 6

    Magnetic resonance imaging of the brain revealed volume loss and periventricular and deep white matter signal change; however, these features were generalized rather than[jamanetwork.com] Progressive external ophthalmoplegia Obstructive sleep apnea Exertional dyspnea Generalized amyotrophy Sleep apnea Difficulty walking Apnea Dyspnea Tremor Elevated serum[mendelian.co] Lack of energy History This 48 year old woman, who was first seen by a neurologist in March 1989, with a 7 year history of progressive unilateral ptosis, mild facial weakness[collections.lib.utah.edu]

  • Vascular Dementia

    Several pathogenic mechanisms appear implicated in the causation the deep white matter changes of Binswanger's disease, and hypoxia-ischemia resulting from watershed injury[web.archive.org] “Some people may also have issues with central functions like bladder control or developing an abnormal gait when they’re walking.”[bhf.org.uk] weakness, unilateral weakness of the limbs, Babinski’s sign, sensory deficit, hemianopia, and bulbar palsy were considered focal neurological signs.[dx.doi.org]

  • Migrainous Stroke

    MRI may demonstrate T2 hyperintensities in the white matter of the centrum semiovale, not dissimilar to small vessel deep white matter ischemic change.[radiopaedia.org] walking Causes Migrainous infarctions occur primarily in younger women who have a history of migraine with aura.[verywell.com] Unilateral facial motor weakness is seen in both central and peripheral nerve pathologies.[ahcmedia.com]

  • Multi-Infarct Dementia

    Several pathogenic mechanisms appear implicated in the causation the deep white matter changes of Binswanger's disease, and hypoxia-ischemia resulting from watershed injury[web.archive.org] Common neurological signs (e.g., abnormal reflexes, weakness of an extremity, gait disturbance) are discussed in the “Diagnostic Features” section.[courses.lumenlearning.com] weakness, unilateral weakness of the limbs, Babinski’s sign, sensory deficit, hemianopia, and bulbar palsy were considered focal neurological signs.[dx.doi.org]

  • Lacunar Infarction

    […] penetrating arteries and arterioles that supply the basal ganglia and hemispheric white matter as well as the brainstem.[forums.studentdoctor.net] walking or raising arms Numbness Headache Treatment of Lacunar Infarction: Intravenous clot-busting drugs (tissue plasminogen activator) Medication delivered directly into[hiacode.com] Unilateral lower facial weakness with dysarthric speech is noted. On protrusion, the tongue may deviate to the side of facial weakness.[emedicine.medscape.com]

  • Spastic Ataxia with Congenital Miosis

    , early executive dysfunction, cerebral infarction and/or deep white matter changes on neuroimaging Dementia: Early personality changes, apathy, disinhibition, compulsive[quizlet.com] The neuropsychiatric manifestations are varied but typically include alterations of consciousness, eye movement abnormalities, and gait and balance disorders.[online.epocrates.com] Unilateral facial weakness is a common feature of disease affecting the pyramidal tracts as they descend from cortex to brainstem, such as stroke.[casemed.case.edu]

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