Focal Neurologic Signs: Causes & Reasons

Possible Causes for Focal Neurologic Signs

hunger, paresthesias, nausea, and vomiting Neuroglycopenic Agitation, confusion Fatigue Behavioral changes Seizure, focal neurological signs Somnolence → obtundation → stupor [amboss.com]

Neuroglycopenic signs Tachycardia Increased systolic blood pressure Pallor Diaphoresis Mydriasis Transient Focal Neurological Deficit occasionally Table 3. [intechopen.com]

Signs and symptoms Neurogenic/autonomic Increased sympathetic activity: tremor, pallor, anxiety, tachycardia, sweating, and palpitations Increased parasympathetic activity [amboss.com]

Transient Ischemic Attack

[…] on findings of an abrupt onset of focal neurologic signs or symptoms without evidence of brain tissue infarction on imaging.4 The current definition offers a significant [journals.lww.com]

[…] based on findings of an abrupt onset of focal neurologic signs or symptoms without evidence of brain tissue infarction on imaging. 4 The current definition offers a significant [journals.lww.com]

The most frequent symptoms and signs are headache, seizures, focal deficits, and papilledema. A number of rare atypical manifestations have been described. [ncbi.nlm.nih.gov]

Stroke

New-onset focal neurologic signs, change in mental status, or delay in recovery from anesthesia after BAE warrants brain imaging to rule out a stroke. [ncbi.nlm.nih.gov]

PLEDs, usually associated with obtunded patients, focal seizures and focal neurological signs tend to be transient and resolve spontaneously within 2-3 weeks. [omicsonline.org]

Stroke chameleons presented with milder stroke and fewer focal stroke signs compared to accurately diagnosed stroke patients. [doi.org]

Intracranial Sinus Thrombosis

In 20 of our 35 patients having CST, focal neurological signs were absent. [stroke.ahajournals.org]

No focal neurological signs were seen, but she was sleepy, with generalised apathy. The remainder of the clinical examination was normal. [bmj.com]

neurological signs. [stroke.ahajournals.org]

Subarachnoid Abscess

FOCAL NEUROLOGICAL SIGNS Focal neurological signs are due to the tumour invading or compressing the cerebellum, the brainstem and cranial nerves. [surgwiki.com]

In addition, most patients are febrile, with headache and neck stiffness, and, if untreated, may develop focal neurologic signs, lethargy, and coma. [en.wikipedia.org]

neurology may be present signs of raised ICP, focal neurology or seizures should prompt imaging pathophysiology spread of infection to the brain inflammation and irritation [radiopaedia.org]

Sepsis-Associated Encephalopathy

neurologic sign. [ncbi.nlm.nih.gov]

Electroen- cephalography is required in the presence of seizure; neuroimaging in the presence of seizure, focal neurologic signs or suspicion of cerebral infection; and both [jhu.pure.elsevier.com]

It can range from slight confusion to coma and can be, although rarely, accompanied by focal neurological signs. [scitechnol.com]

Herpes Simplex Encephalitis

Clinical diagnosis is suggested in the encephalopathic, febrile patient with focal neurologic signs. [ncbi.nlm.nih.gov]

The third patient survived but with severe permanent dementia and focal neurologic signs. Two other patients survived and have no neurologic sequelae. [jamanetwork.com]

The neurological exam revealed no evidence of focal neurological signs, neck stiffness, epilepsy. [clinmedjournals.org]

Vascular Dementia

neurological signs 0.699 81.0 ADDTC/ICD-10 37.5 … … … ADDTC/NINDS-AIREN 40.0 Focal neurological signs 0.810 69.4 ICD-10/NINDS-AIREN 17.9 Focal neurological signs 0.736 81.8 [dx.doi.org]

[…] lesions on brain imaging; (b) absence of focal neurological signs, other than cognitive disturbance; and (c) absence of cerebrovascular lesions on brain CT or MRI. [strokecenter.org]

sensory deficit, hemianopia, and bulbar palsy were considered focal neurological signs. [dx.doi.org]

Multi-Infarct Dementia

Only TIA/stroke episodes and focal neurological signs were significantly more frequent in MID than in PVD cases, an anticipable result on the basis of MID definition. [ncbi.nlm.nih.gov]

neurological signs. [ncbi.nlm.nih.gov]

By analyzing the correlations of the single items of the 3 different ischemia scores with the PI values obtained, we only found a clearcut correlation with the item focal [ncbi.nlm.nih.gov]

Intracranial Abscess

Patients most often present subacutely over days to a few weeks with fever, headache, and/or focal neurological signs, including seizures. [casemed.case.edu]

Focal neurologic signs such as aphasia, hemiparesis, or a visual field deficit are important findings, as they are less common in other, more diffuse CNS infections such as [emdocs.net]

neurological signs neck stiffness often absent Depends on: primary source of infection evidence of � ICP focal cerebral or cerebellar signs CT / MRI demonstration of abscess [aic.cuhk.edu.hk]

Subdural Empyema

In addition, most patients are febrile, with headache and neck stiffness, and, if untreated, may develop focal neurologic signs, lethargy, and coma. [en.wikipedia.org]

The leading clinical manifestations were fever (96.8%), seizure (70.1%), and focal neurological signs (58.1%). [ncbi.nlm.nih.gov]

Cranial epidural abscess: fever and headache (can be quite asymptomatic), focal neurological signs and seizures, raised intra-cranial pressure. [hkuelcn.med.hku.hk]

Transient Global Amnesia

Evaluations should be extensive only if focal neurologic signs accompany the presenting symptoms. Brown J. ED evaluation of transient global amnesia. [aafp.org]

Physical examination was unremarkable and neurological examination revealed no focal neurological sign although a laboratory investigation revealed leukocytosis. [ncbi.nlm.nih.gov]

neurological signs or deficits during or after the attack. (5) There were no features of epilepsy. (6) The attack resolved within 24 h. (7) The patient did not have any recent [ncbi.nlm.nih.gov]

Subacute Adenoviral Encephalitis

neurologic signs, or seizures appear. [accessmedicine.mhmedical.com]

Epilepsy, focal neurological signs and cognitive impairment may develop. [patient.info]

In occasional patients, EBV is associated with frank encephalitis, presenting with altered consciousness including coma, seizures, and focal neurological signs and symptoms [clinicalgate.com]

Uveomeningoencephalitic Syndrome

It is manifested with hearing disorders, panuveitis, alopecia, poliosis, vitiligo, neck stiffness, headaches, and focal neurologic signs ICD-9-CM Volume 2 Index entries containing [icd9data.com]

focal neurologic signs (cranial nerve palsies, hemiparesis, optic neuritis), auditory symptoms (tinnitus, vertigo, hearing loss) and CSF lymphocytosis. [aao.org]

: Vogt-Koyanagi-Harada syndrome with focal neurologic signs. Am. J. Ophthalmol., 91:332–341, 1981. [link.springer.com]

Congenital Thrombotic Thrombocytopenic Purpura

ABSTRACT ABSTRACT CONTEXT: Thrombotic microangiopathy syndrome or thrombotic thrombocytopenic purpura-hemolytic uremic syndrome (TTP-HUS) describes distinct diseases sharing common pathological features: microangiopathic hemolytic anemia and thrombocytopenia, without any other apparent cause.CASE REPORT: An[…] [pesquisa.bvsalud.org]

Vertigo of Central Origin

These patients usually present with recurrent vertigo lasting for a few hours without any other ENT symptoms nor focal neurological signs or symptoms. [ncbi.nlm.nih.gov]

Fatal Neonatal Radiculoneuropathy

ataxia, disturbances of consiousness, focal neurologic signs Clinical forms of TBE • Inaparent • Abortive • Meningitis • Encephalitis • Encephalomyelitis • Bulbar Lyme borreliosis [fr.slideserve.com]

Clinical course of TBE • IP: 3 to 14 days • I. phase: fever, myalgia, arthralgia ↓ • Asymptomatic interval (4-10 days) ↓ • II. phase: headache, fever, vomiting, meningeal signs [fr.slideserve.com]

HaNDL Syndrome

HaNDL) syndrome represents a rare condition and consists of recurrent headaches with focal neurological signs, which can include motor, sensory and aphasic symptoms. [radiopaedia.org]

[…] deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome) consists of recurrent headaches with focal neurological signs, which can include motor, sensory and aphasic [casereports.bmj.com]

Examination revealed nuchal rigidity and photophobia without any focal neurological signs. [journals.lww.com]

Clivus Meningioma

They may result in seizures, focal neurological signs, or both, depending on their location. [case.edu]

Encephalopathy

signs. [ncbi.nlm.nih.gov]

neurological signs. [ncbi.nlm.nih.gov]

Patients with encephalopathy exhibit a disturbed state of consciousness lasting more than 24 hours, and patients with encephalitis exhibit high temperature, focal neurological [content.sciendo.com]

Cerebrovascular Dementia

Cf Alzheimer's disease. vas·cu·lar de·men·ti·a ( vas'kyū-lăr dĕ-men'shē-ă ) A steplike deterioration in intellectual functions with focal neurologic signs, as the result of [medical-dictionary.thefreedictionary.com]

Focal neurologic signs may help differentiate vascular dementia from other dementias. [merckmanuals.com]

Focal neurological signs and symptoms (e.g., exggeration of deep tendon reflexes, extensor plantar response, psuedobulbar palsy, gait abnormalities, weakness of an extremity [strokecenter.org]

Reversible Cerebral Vasoconstriction Syndrome

[…] characterized by a weeks-long course of thunderclap headaches, sometimes focal neurologic signs, and occasionally seizures.[1] Symptoms are thought to arise from transient [en.wikipedia.org]

Reversible cerebral vasoconstriction syndrome Specialty Neurology Reversible cerebral vasoconstriction syndrome (RCVS, sometimes called Call-Fleming syndrome) is a disease [en.wikipedia.org]

Oculoglandular Listeriosis

focal neurologic signs, and seizures. [icd10data.com]

[…] positive bacterial infection with the genus Listeria including Listeria meningitis which causes clinical manifestations including fever, altered mentation, headache, meningeal signs [openmd.com]

[…] positive bacterial infection with the genus listeria including listeria meningitis which causes clinical manifestations including fever, altered mentation, headache, meningeal signs [icd10data.com]

Varicella Zoster Virus Encephalitis

neurologic signs. 1, 4 Polymerase chain reaction testing of cerebrospinal fluid for varicella-zoster virus DNA has a sensitivity of 80%–95% and a specificity of greater than [cmaj.ca]

Epilepsy, focal neurological signs and cognitive impairment may develop. [patient.info]

neurological signs and cognitive impairment Increased risk of herpes encephalitis in patients treated with monoclonal antibodies to tumor necrosis factor ( Clin Infect Dis [pathologyoutlines.com]

Mass Lesion of the Brain

Patients with increased ICP from mass lesions often display decreased levels of consciousness, focal neurological signs or papilledema on physical exam. [meds.queensu.ca]

Epilepsy and focal neurologic signs are common. These meningiomas have the best potential for total removal. [singhealth.com.sg]

Usually, the patient with CNS toxoplasmosis will present with focal neurologic symptoms and signs often superimposed on a global encephalopathy. [ajnr.org]

Western Equine Encephalomyelitis

signs(3,5). [msdsonline.com]

Focal neurologic signs in western equine encephalitis. Can Med Assoc J. 1984;130(8):1019–21. Rozdilsky B, Robertson HE, Chorney J. [veterinariamexico.fmvz.unam.mx]

Focal neurologic signs in western equine encephalitis. Can Med Assoc J. 1984;130(8):1019-21. [ Links ] 25. Rozdilsky B, Robertson HE, Chorney J. [scielo.org.mx]

Cerebral Malaria

In both cases the focal signs could be explained by documented prior neurological disease with residual focal damage. [ncbi.nlm.nih.gov]

Lumbar puncture will be performed for diagnosis of meningitis or hemorrhage (in groups I and III) if there are no contraindications (e.g. papilledema or focal neurological [clinicaltrials.gov]

Focal neurological signs are uncommon. [jpma.org.pk]

Toxic Leukoencephalopathy

PML should be considered as a possible diagnosis in any HIV-infected patient with focal neurological signs 4,5. [rsbmt.org.br]

Bacterial Encephalitis

[…] of encephalitis: altered conscious state, focal neurological signs Investigations Lumbar puncture (LP) Prior to performing a LP You must always discuss with a senior registrar [rch.org.au]

signs, or papilledema. [cdemcurriculum.com]

Introduction Encephalitis is a neurological emergency, which presents as headache, cognitive and behavioural disturbance, sometimes with focal neurological signs; many cases [journals.plos.org]

Susac Syndrome

neurological signs, branch retinal artery occlusions and hearing loss. [dspace.library.uu.nl]

Abstract BACKGROUND: Susac syndrome is characterised by the triad of encephalopathy with or without focal neurological signs, branch retinal artery occlusions and hearing [ncbi.nlm.nih.gov]

1, building A1, Münster 48149, Germany; Ilka.Kleffner{at}ukmuenster.de Abstract Background Susac syndrome is characterised by the triad of encephalopathy with or without focal [jnnp.bmj.com]