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947 Possible Causes for Coma, Hemiparesis, Nystagmus

  • Stroke

    Sutter R, Kaplan PW (2012) Electroencephalographic patterns in coma: when things slow down. Epileptologie 29: 201–209. 27.[aimspress.com] SSEH presenting as a hemiparesis is less common and in such situations, it can be mistaken for a cerebrovascular accident (CVA).[ncbi.nlm.nih.gov] The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰.[ncbi.nlm.nih.gov]

  • Cerebral Hemorrhage

    Alpha-frequency coma (AC) is a rare finding in comatose patients and is generally associated with a poor prognosis.[ncbi.nlm.nih.gov] During the course of illness, the patient had an acute cerebral hemorrhage, which manifested with hemiparesis, dysarthria, and pathologic crying.[ncbi.nlm.nih.gov] The symptomatology of the cases with saltatory evolution had subacute onset, in 1-3 days, with hypotonia, nystagmus and posture disorders.[medichub.ro]

  • Cerebral Embolism

    […] manifestations of fat embolism syndrome can be highly variable and non-specific: the symptoms spectrum includes headache, lethargy, irritability, delirium, stupor, convulsions, or coma[radiopaedia.org] However, the patient then developed fever, dyspnea, and subsequent right hemiparesis.[ncbi.nlm.nih.gov] There was no gaze preference or nystagmus. Corneal reflexes were intact. The right nasolabial fold was flattened, and right eye closure was decreased.[pediatrics.aappublications.org]

  • Brain Stem Infarction

    The Glasgow Coma Scale is a scoring system used to evaluate someone’s level of consciousness.[thequadspot.com] , ataxic hemiparesis.[symptoma.com] In the author's experience, these patients often exhibit rebound nystagmus, which is a variant of gaze-evoked nystagmus.[dizziness-and-balance.com]

  • Brain Abscess

    The predictivefactor of a favorable outcome was Glasgow Coma Scale (GCS) score 13 to 15 (OR 14.64; 95% CI 2.70-79.34; p 0.02).[ncbi.nlm.nih.gov] The patient presented with right-sided homonymous hemianopsia and right hemiparesis. Emergent surgical drainage was performed and antibiotics were administered.[ncbi.nlm.nih.gov] The patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[sites.google.com]

  • Lupus Encephalitis

    Assessment of serum electrolytes is essential in patients presenting with confusion or coma to exclude electrolyte imbalance as the underlying etiology.[symptoma.com] The authors describe three young women with systemic lupus erythematosus and hemiparesis who had major cerebral artery stenosis or occlusion documened by angiography.[glosbe.com] […] report a 28-year-old patient with systemic lupus erythematosus who had persistent fever for 3 months, and developed within a few hours motor and sensory aphasia, rotator nystagmus[link.springer.com]

  • Listerial Meningitis

    Ten percent were comatose (Glasgow coma score 8), and an additional 70% had altered mental status (Glasgow score 14).[ahcmedia.com] Neurological abnormalities identified were cranial nerve palsies in 2 (6.4%) and hemiparesis in 3 (9.6%). No patients had hearing impairment.[bmcinfectdis.biomedcentral.com] Symptoms such as ataxia, nystagmus, vertigo, facial numbness, dysphagia , persistent hiccuping , and respiratory failure ( 41%) may be present 3 .[radiopaedia.org]

  • Marchiafava Bignami Disease

    If the individual presents with acute neurologic symptoms like seizures or coma, a cerebral mass or stroke must be urgently excluded using computer tomography or magnetic[symptoma.com] […] mimicking conditions were differentiated from MBD by the occurrence of solitary and rapidly disappearing splenial lesions; fewer signs and symptoms with exception of seizures, hemiparesis[ncbi.nlm.nih.gov] We herein present the case of a 56-year-old man with chronic alcoholism who was admitted to our hospital in a coma without focal or lateralizing neurological signs.[ncbi.nlm.nih.gov]

  • Acute Alcohol Intoxication

    Coma, vomiting and hypothermia are the commonest symptoms in young teenagers intoxicated by alcohol.[ncbi.nlm.nih.gov] When he woke up 8 h later, right-sided hemiparesis and aphasia were observed, and cerebral CT already revealed irreversible ischemic changes.[ncbi.nlm.nih.gov] Symptoms range from changes in behavior to severe hypothermia, vomiting, altered consciousness, coma, and respiratory insufficiency that may be fatal.[symptoma.com]

  • Herpes Simplex Encephalitis

    We report a 66-year patient with a Glasgow Coma Score (GCS) of 6 and incipient uncus herniation of the right temporal lobe on the third day.[ncbi.nlm.nih.gov] She recovered and could speak short sentences, but dysphasia and right hemiparesis remained.[ncbi.nlm.nih.gov] Following mild upper respiratory infection, aphtous stomatitis and dizziness, horizontal nystagmus was noted in the primary eye position and he was sent to the ENT clinic[jstage.jst.go.jp]

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