Possible Causes for hemianesthesia Stroke Ataxic hemiparesis Dysarthria–clumsy hand syndrome Lacunar infarcts *Ipsilateral facial sensory loss or motor weakness with contralateral body hemianesthesia or hemiparesis [msdmanuals.com] […] poor judgment, mutism, grasp reflex, gait apraxia Anterior cerebral artery (uncommon) Contralateral hemiparesis (worse in the arm and face than in the leg), dysarthria, hemianesthesia [msdmanuals.com] […] artery occlusion is complete), tachycardia, labile BP Vertebrobasilar system Absence of cortical deficits plus one of the following: Pure motor hemiparesis Pure sensory hemianesthesia [msdmanuals.com] Cerebral Thrombosis Abstract Cerebral venous thrombosis (CVT) is a severe multifactorial condition with various clinical manifestations that may include headache, papilledema, seizures, focal deficits, coma and death. The mortality rate of untreated CVT is up to 50%, but it drops to 10% when CVT is properly treated. Prevention of CVT is[…] [ncbi.nlm.nih.gov] Migraine Migraine is a common, disabling neurological disorder that affects up to 12% of the world population. Its pathophysiology is incompletely described. Of the various phases of migraine, the migraine postdrome is the least studied and hence the least understood. Electronic diary studies show patients are left disabled[…] [ncbi.nlm.nih.gov] Carotid Artery Occlusion On the following day, the patient presented with left hemiplegia with hemianesthesia (National Institutes of Health Stroke Scale score 14). [ncbi.nlm.nih.gov] When the origins of both the ACA and MCA are occluded at the top of the carotid artery, abulia or stupor occurs with hemiplegia, hemianesthesia, and aphasia or anosognosia [slideshare.net] ACA territory are as follows: Crural paresis arm paresis Frontal signs (eg, abulia) Findings related to the anterior choroidal artery territory are as follows: Hemiparesis Hemianesthesia [emedicine.medscape.com] Carotid Embolism When the origins of both the ACA and MCA are occluded at the top of the carotid artery, abulia or stupor occurs with hemiplegia, hemianesthesia, and aphasia or anosognosia [slideshare.net] ACA territory are as follows: Crural paresis arm paresis Frontal signs (eg, abulia) Findings related to the anterior choroidal artery territory are as follows: Hemiparesis Hemianesthesia [emedicine.medscape.com] Cerebral Embolism The patient awoke slowly, and when awake she showed a combination of contralateral hemiplegia, and right hemianesthesia with global aphasia; the CT scan showed an ischemic [ncbi.nlm.nih.gov] Ataxic hemiparesis Dysarthria–clumsy hand syndrome Lacunar infarcts *Ipsilateral facial sensory loss or motor weakness with contralateral body hemianesthesia or hemiparesis [merckmanuals.com] Lacunar infarcts may produce one of the classic lacunar syndromes (eg, pure motor hemiparesis, pure sensory hemianesthesia, ataxic hemiparesis, dysarthria–clumsy hand syndrome [merckmanuals.com] Primary Progressive Multiple Sclerosis We present three patients with a clinical course and cerebrospinal fluid findings consistent with a diagnosis of primary progressive multiple sclerosis (PPMS). Extensive and repeated magnetic resonance imaging (MRI) examinations showed only diffuse abnormality in brain and spinal cord, but no focal lesions. We propose[…] [ncbi.nlm.nih.gov] Hysterical Neurosis But complete hemianesthesia is usually considered a very sure proof of hysteria, although it is anatomic in distribution. [shoulderdoc.co.uk] On examining the shoulder, I found that he was anaesthetic over the whole right shoulder and arm, but further investigation proved that he also had a complete hemianesthesia [shoulderdoc.co.uk] Embolism […] pathology Embolism, obstruction of the flow of blood by an embolus, a particle or aggregate of substance that is abnormally present in the bloodstream. The substance may be a blood clot that has broken loose from its point of formation (while it is still adherent to the vessel at the point where it was formed, the[…] [britannica.com] Subdural Hematoma BACKGROUND: Delayed acute subdural hematoma (DASH) is a subdural hematoma which is detected later. An initial computed tomography (CT) does not reveal any intracranial hemorrhage at all. Few patients of DASH after mild traumatic brain injury associated with percutaneous coronary intervention (PCI) have been[…] [ncbi.nlm.nih.gov] Migrainous Stroke Abstract We compared epidemiologic and clinical data from 310 patients with migraine and 30 patients with acute migrainous stroke to identify factors predictive of migrainous stroke and assess the risk of future stroke in these two populations. We found no significant differences in gender ratio or in the[…] [ncbi.nlm.nih.gov] Vascular Dementia Many of the previous studies of vascular dementia using proton magnetic resonance (MR) spectroscopy had been carried out on white matter. However, no proton spectroscopic data of the subcortical gray matter are available in such disease. We report two cases suffering from vascular dementia, with an unilateral[…] [ncbi.nlm.nih.gov] Migraine Equivalent A 13-year-old mentally retarded boy suffered from repeated vomiting attacks since infancy. Each episode lasted 2 to 10 days, and was precipitated by respiratory infection, exercise or stress. During an attack he became irritated, agitated and amnesic, but did not have headaches or seizures. Associated findings[…] [ncbi.nlm.nih.gov] Hyperesthetic Thalamic Pain Syndrome When that area is related with the thalamus, thalamic syndrome might follow. this is characterized by rapidly progressive hemiparesis; persistent supericial hemianesthesia [text-br.123dok.com] When that area is related with the thalamus, thalamic syndrome might follow. this is characterized by rapidly progressive hemiparesis; persistent superficial hemianesthesia [vdocuments.us] ” whose signs and symptoms were summarized by Roussy (1906) in his thesis: slight hemiparesis usually without contracture and rapidly regressive; persistent superficial hemianesthesia [assets.cambridge.org] Brown-Sequard Syndrome […] neurological condition characterized by a lesion in the spinal cord which results in weakness or paralysis (hemiparaplegia) on one side of the body and a loss of sensation (hemianesthesia [ninds.nih.gov] […] neurological disorder characterized by a lesion on the spinal cord which results in weakness or paralysis (hemiparaplegia) on one side of the body and a loss of sensation (hemianesthesia [web.archive.org] The spinal cord is damaged but is not severed.Symptoms include weakness/paralysis (hemiparaplegia) to one side of the body and a loss of sensation (hemianesthesia) to the [patientslikeme.com] Multiple Sclerosis Multiple sclerosis (MS) is an inflammatory demyelinating disease of central nervous system and it is associated with an impaired motor function status. The efficacy of rehabilitation in promoting functional recovery and increasing quality of life in MS patients has been demonstrated. A 47-year-old woman was diagnosed[…] [ncbi.nlm.nih.gov] Hypertensive Encephalopathy Neonatal hyperthyroidism may give rise to serious cardiovascular complications. A girl with severe thyrotoxicosis in whom hypertensive encephalopathy developed is described. Neonatal thyrotoxicosis can give rise to hypertension and may lead to hypertensive encephalopathy. [ncbi.nlm.nih.gov] Cerebral Palsy Poor growth and delayed puberty in children with cerebral palsy is frequently felt to be related to malnutrition. Although growth hormone deficiency is commonly described in these children, multiple pituitary hormone deficiency (MPHD) has not been previously reported. We present a series of four children with[…] [ncbi.nlm.nih.gov] Lupus Encephalitis Lupus cerebritis is an inflammatory neurological condition secondary to systemic lupus erythematosus and is characterized by several neuropsychiatric manifestations. The diagnosis of lupus cerebritis can be challenging as there are no specific diagnostic tests. Therefore, the work up depends upon excluding other[…] [symptoma.com] Parietal Lobe Tumor No notes for slide Anterior parietal: This artery usually originates from the anterior or middle MCA trunk. In some cases it branches from the rolandic artery or from the posterior parietal artery. Extends the interparietal sulcus and descends slightly posteriorly. Posterior parietal: Emerging from the posterior[…] [slideshare.net] Progressive Multifocal Leukoencephalopathy Case Report In 1983, a 23-year-old right-handed man had a month-long episode of right hemianesthesia, his first symptom of what proved to be relapsing–remitting multiple sclerosis [doi.org] During the next three weeks, left hemiplegia, left-sided neglect, left hemianesthesia, apraxia of the right arm, and nonfluent aphasia developed and dysarthria worsened despite [doi.org] Lateral Medullary Syndrome Ipsilateral loss of pain and temperature sensation from the face (facial hemianesthesia). Why? Spinal trigeminal nucleus and tract involved. Ipsilateral hearing loss. [medicowesome.com] A complete Wallenberg syndrome is not common with key factors in clinical diagnosis being 'crossed hemiparesis or hemianesthesia' indicating a brainstem lesion 5. [medicine.uiowa.edu] Hemiasynergine, lateropulsion et myosis bulbaires avec hemianesthesia et hemiplegia croisees. Rev Neurol (Paris) 1902; 10 :358–65. [ Google Scholar ] 3. [ncbi.nlm.nih.gov] Cervical Spinal Cord Injury Phrenic nerve stimulation is a therapeutic option for patients with central hypoventilation syndrome due to brain stem and high cervical spinal cord dysfunction. A 28-year-old woman with high cervical spinal cord injury at the level of C2 had chronic central hypoventilation syndrome, requiring long-term use of a home[…] [ncbi.nlm.nih.gov] Sturge-Weber Syndrome Sturge-Weber syndrome is a congenital neurocutaneous disorder characterized by facial port-wine stain, leptomeningeal angioma, and neurological disorders. Sturge-Weber syndrome can coexist with other disorders in a few patients; however, muscular abnormalities have not been reported in patients with Sturge-Weber[…] [ncbi.nlm.nih.gov] Brain Laceration The ICD 9 Code for Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, unspecified state of consciousness is listed as 851.80. Additional information concerning this code and description can be found below including ICD 10 crosswalks / GEMS, and chapter information[…] [emedcodes.com] Decompression Sickness Decompression sickness (DCS) is manifested in a myriad of symptoms, and can affect any part of the body. It is attributed to the formation of inert gas bubbles in the blood and tissues. Following a diving incident, the pathogenesis of DCS is a result of mechanical obstruction caused by the inert gas bubbles and[…] [ncbi.nlm.nih.gov] Benedict Syndrome […] hemiplegia, sometimes gaze palsy Avellis Medulla X tegmentum Paralysis of soft Spinothalamic, palate and vocal Infarct or sometimes cord and Tumor pupillary fibers contralateral hemianesthesia [docshare.tips] Jackson Syndrome Cranial Nerves Paralysis of soft palate, vocal cord, contralateral hemianesthesia and ipsilateral tongue paralysis Lateral Tegmentum of Medulla Wallenberg [quizlet.com] […] sensation of things moving back and forth in horizontal plane), gag, vertigo) Avellis syndrome: (tegmentum of the medulla) paralysis of soft palate and vocal cord contralateral hemianesthesia [prod.wiki.cns.org] Adenovirus Infection This is the first reported case of MERS involving only hemiparesis and hemianesthesia at onset. [ncbi.nlm.nih.gov] 24-year-old Japanese woman who developed adult-onset clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) presenting with hemiparesis and hemianesthesia [ncbi.nlm.nih.gov] This case suggests that a diagnosis of MERS should be suspected in patients with hemiparesis and hemianesthesia, especially when these conditions are preceded by infection [ncbi.nlm.nih.gov] Brain Stem Infarction Sign Up Where in the brainstem would the lesion be found for a patient with hemianesthesia, contralateral involuntary movements, and ipsilateral paresis? [knowledge.statpearls.com] Vertigo is the cardinal feature of brain stem infarction followed by ipsilateral cranial nerve symptoms, contralateral hemiplegia, hemianesthesia (crossed motor or sensory [symptoma.com] In other words, this is presence of ipsilateral (same side) motor and sensory cranial nerve signs or symptoms and contralateral (opposite side) hemianesthesia (loss of sensation [saebo.com] Posterior Inferior Cerebellar Artery Occlusion Ipsilateral loss of pain and temperature sensation from the face (facial hemianesthesia). Why? Spinal trigeminal nucleus and tract involved. Ipsilateral hearing loss. [medicowesome.com] A complete Wallenberg syndrome is not common with key factors in clinical diagnosis being 'crossed hemiparesis or hemianesthesia' indicating a brainstem lesion 5. [medicine.uiowa.edu] […] hemiplegia, sometimes gaze palsy Vascular,tumor Avellis Medulla tegmentum X Spinothalamic, sometimes pupillary fibers Paralysis of soft palate and vocal cord and contralateral hemianesthesia [tchain.com]
