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272 Possible Causes for Facial Numbness, Hemiparesis, Nystagmus

  • Stroke

    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] A 48-year-old man presented with acute onset of left facial numbness, ataxic gait and double vision.[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 Embolism

    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] A cerebral embolism that induces a stroke can also cause facial numbness, vision loss in one or both eyes, and difficulty speaking or understanding words.[reference.com]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[doi.org] , tingling, or pain: Facial pain Painful muscle spasms Tingling, crawling, or burning feeling in the arms and legs Other brain and nerve symptoms: Decreased attention span[nlm.nih.gov] Upbeat nystagmus was observed in all MS patients with trigeminal REZ lesions.[ncbi.nlm.nih.gov]

  • Transient Ischemic Attack

    A 71-year-old female presented to the emergency department with 2 episodes of transient right hemiparesis in 5 hours.[ncbi.nlm.nih.gov] These symptoms include: Confusion or memory problems Difficulty understanding speech or sudden speech impairment, such as slurred speech Facial paralysis Sudden leg or arm[loyolamedicine.org] […] is usually peripheral in nature, whereas vertical, pure torsional and/or bidirectional nystagmus, limb ataxia and pinprick sensation asymmetry are usually central Dix Hallpike[emergencymedicinecases.com]

  • 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.[tchain.com] Typical symptoms include eye pain and vision disturbances; speech disorders; facial numbness or pain; incoordination of gait and of the limbs; spasticity, weakness, and increased[britannica.com] In the author's experience, these patients often exhibit rebound nystagmus, which is a variant of gaze-evoked nystagmus.[dizziness-and-balance.com]

  • Vertebrobasilar Insufficiency

    The first patient underwent repair of a traumatic brachial artery occlusion and awoke postoperatively with bilateral cortical blindness, right hemiparesis, and multiple cranial[ncbi.nlm.nih.gov] Other symptoms include visual defects (diplopia), syncope (drop attacks), dysphagia (difficulty swallowing), dysarthria , hoarseness, and facial numbness, or paresthesias.[encyclopedia.com] An abnormal positional nystagmus was observed when he rotated his head to the left.[ncbi.nlm.nih.gov]

  • Primary Progressive Multiple Sclerosis

    […] symptoms may include: Spastic paraparesis : An increasingly spastic gait in which your legs will begin to stiffen, causing a visible limp and/or rhythmic jerkiness Spastic hemiparesis[verywell.com] Double vision or eye tremor ( nystagmus ) may result from involvement of the nerve pathways controlling movement of the eye muscles.[medical-dictionary.thefreedictionary.com] […] muscle spasms, or difficulty in moving; difficulties with coordination and balance (ataxia); problems in speech (dysarthria) or swallowing (dysphagia), visual problems (nystagmus[disabled-world.com]

  • Cerebral Hemorrhage

    During the course of illness, the patient had an acute cerebral hemorrhage, which manifested with hemiparesis, dysarthria, and pathologic crying.[ncbi.nlm.nih.gov] […] paralysis Numbness or tingling Vision changes Any change in vision Decreased vision, loss of all or part of vision Double vision Eyelid drooping Pupils different size Uncontrollable[snc.md] The symptomatology of the cases with saltatory evolution had subacute onset, in 1-3 days, with hypotonia, nystagmus and posture disorders.[medichub.ro]

  • Hemiplegia

    Learning Points * Define hemiplegia and distinguish it from hemiparesis. * Differentiate between spastic hemiparesis and flacid hemiparesis.[web.archive.org] The face may be spared during an episode, but weakness of facial muscles (facial paresis) can occur with mouth deviation, slurred speech, and difficulty swallowing.[rarediseases.org] Alternating hemiplegia of childhood is a rare syndrome characterized by onset before 18 months of age of frequent attacks of alternating paralysis, transient ocular palsies, nystagmus[n.neurology.org]

  • Meningeal Carcinomatosis

    A 36-year-old woman presented with headache, multiple cranial nerve palsies, visual hallucinations, confusion, hemiparesis, hemihipoestesia, episodes of disconnection, and[ncbi.nlm.nih.gov] numbness, and vision loss.[ncbi.nlm.nih.gov] There was no neck stiffness or nystagmus. The sensory examination was normal. The conjunctivae were pale, but not icteric.[kjim.org]

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