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151 Possible Causes for Bilateral Babinski's Reflex, Hemiparesis, Nystagmus

  • Stroke

    SSEH presenting as a hemiparesis is less common and in such situations, it can be mistaken for a cerebrovascular accident (CVA).[] The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰.[] In the Wind chapter of Donguibogam, left hemiparesis due to stroke is called Tan, a sort of Hyeol-Byeong, and right hemiparesis due to stroke is called Tan, a sort of Gi-Byeong[]

  • Cerebral Hemorrhage

    During the course of illness, the patient had an acute cerebral hemorrhage, which manifested with hemiparesis, dysarthria, and pathologic crying.[] The symptomatology of the cases with saltatory evolution had subacute onset, in 1-3 days, with hypotonia, nystagmus and posture disorders.[] Two days after the surgery, he developed left hemiparesis. CT scans showed a large cerebral hemorrhage on the right temporal lobe with midline shift by brain metastases.[]

  • Brain Stem Infarction

    , ataxic hemiparesis.[] In the author's experience, these patients often exhibit rebound nystagmus, which is a variant of gaze-evoked nystagmus.[] The patient was managed with anticoagulant and supportive therapy only, with subsequent improvement of hemiparesis and dysarthria.[]

  • Brain Abscess

    The patient presented with right-sided homonymous hemianopsia and right hemiparesis. Emergent surgical drainage was performed and antibiotics were administered.[] The patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[] […] here brain abscesses caused by Nocardia beijingensis in a 59-year-old-Thai male with human immunodeficiency virus (HIV) infection presenting with progressive right sided hemiparesis[]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[] Upbeat nystagmus was observed in all MS patients with trigeminal REZ lesions.[] Cunningham, A 17-Year-Old Girl With Acute Onset of Hemiparesis, Pediatric Emergency Care, 32, 6, (388), (2016).[]

  • Cerebral Thrombosis

    She was treated with anticoagulation therapy and her hemiparesis improved within 3 days.[] […] or sensory deficit 34% Seizures 37% Drowsiness, mental changes,confusion, or coma 30% Dysphasia 12% Multiple cranial nerve palsies 12% Cerebellar incoordiantion 3% Nystagmus[] After 7 to 19 days, patients suddenly deteriorated, developing headache, fever, a decreased level of consciousness, brainstem signs, or hemiparesis.[]

  • Basilar Artery Thrombosis

    In the clinical course, the patient successfully recovered with only left slight hemiparesis and skew deviation remaining.[] Neurological examination revealed a fluctuating mental status, right-sided cranial nerve weaknesses, decreased right-sided extremity strength, and an upward Babinski reflex[] The aim of this study was to describe skew deviation and vertical nystagmus as the initial signs for basilar artery thrombosis, a life-threatening disease.[]

  • Brain Stem Disorder

    When hemiplegia or hemiparesis and sensory loss are coextensive, the lesion usually lies supratentorially. Vertigo is a common early symptom of brainstem strokes.[] In the author's experience, these patients often exhibit rebound nystagmus, which is a variant of gaze-evoked nystagmus.[] […] stroke syndrome has a characteristic clinical picture according to the involved area, however, generally there is ipsilateral cranial nerve palsy and contralateral hemiplegia/hemiparesis[]

  • Hepatic Encephalopathy

    Physical examination revealed right hemiparesis (including the face), sensory disturbances, pathological reflexes, and slightly decreased consciousness, with a Glasgow Coma[] […] posturing; muscle spasticity; and bilateral extensor plantar reflexes (see reflex, babinski).[] During a rise of ammonium blood level to 220 mmoL/L, the patient had increased drowsiness, persistent dysarthria and mild temporary hemiparesis without loss of consciousness[]

  • Infratentorial Tumor

    PORENCEPHALY Porencephaly may present as hemiparesis, seizures, or both.[] The preoperative physical examinations showed dizziness and nystagmus on the bilateral lateral gaze.[] Focal symptoms reflect the intracranial location of the tumor and include seizures, hemiparesis, diplopia, aphasia, vertigo, incoordination, sensory abnormalities, and dysphagia[]

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