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46 Possible Causes for Creatine Phosphokinase Increased, 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‰.[] Interestingly, creatine phosphokinase increased after l-carnitine was stopped, indicating that l-carnitine had helped to reduce muscle damage during rehabilitation.[]

  • 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.[]

  • Cerebral Embolism

    However, the patient then developed fever, dyspnea, and subsequent right hemiparesis.[] There was no gaze preference or nystagmus. Corneal reflexes were intact. The right nasolabial fold was flattened, and right eye closure was decreased.[] She had developed sudden complete left hemiparesis due to an embolism at the carotid bifurcation.[]

  • 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[]

  • 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.[]

  • Status Epilepticus

    Clinical presentation includes seizures, hemiparesis, facial asymmetry, and learning disability. Radiological findings include cerebral atrophy on one side.[] This type may cause focal motor manifestations (like nystagmus), but can also cause more subtle findings such as confusion, personality changes or psychosis.[] phosphokinase, and increased serum triglycerides are markers of propofol infusion syndrome and should be monitored carefully.[]

  • Intracranial Abscess

    Mainly depending on the speed of diagnosis and treatment, 20-80% of survivors have neurological sequelae - eg, hemiparesis, visual field loss.[] The patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[] A few days after removal of the DBS device, he developed a right oculomotor nerve paresis and mild left hemiparesis.[]

  • Electrical Injury

    M.R. recovered from the left hemiparesis within 90 days of the accident, which indicated a transient right brain impairment.[] Examination revealed nystagmus to the right, right-sided limb ataxia and a tendency to veer toward the right when walking.[] Now he is 16th month of follow-up: neurological examination revealed only mild hemiparesis on the left side and mild articulation disorder.[]

  • Acute Atrial Infarction

    Common stroke signs and symptoms include the following: Abrupt onset of hemiparesis, monoparesis, or (rarely) quadriparesis Hemisensory deficits Monocular or binocular visual[] […] rarely) quadriparesis Hemisensory deficits Monocular or binocular visual loss Visual field deficits Diplopia Dysarthria Facial droop Ataxia Vertigo (rarely in isolation) Nystagmus[]

  • Acute Exertional Rhabdomyolysis

    […] characterized by facial port-wine stains, leptomeningeal angioma, oculopathy, and neurological problems including seizures, stroke-like episodes, mental retardation, migraine, and hemiparesis[] […] unilateral spinning sensation unilateral direction of leaning/falling triggered by head position changes central: uni/bi-direction nystagmus, spinning sensation and falling[] […] central symptoms and diag most common vestibular disorder mismatch between vestibular, somatic sensory, visual systems can cause vertigo and nausea peripheral: unilateral nystagmus[]

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