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875 Possible Causes for Hemiparesis, Hemiplegia, 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] Specifically, this exploratory study investigates changes in gait pattern among stroke patients with hemiparesis or hemiplegia during gait recovery.[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] About 3 months later, however, she developed left hemiplegia, and head magnetic resonance imaging revealed multiple tumorous lesions affecting the previously detected infracted[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 Abscess

    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 postoperative course was uneventful, but a slight left hemiplegia remained at discharge.[ncbi.nlm.nih.gov] The patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[sites.google.com]

  • Lupus Encephalitis

    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] Marked CoA 2 21 M Seizures, movement disorder Minimal CoA (Figure 1B) Minimal CoA 3 19 F Seizures Marked CoA 4 20 F Hallucinations, coma Normal Minimal CoA 5 29 F Coma, hemiplegia[rheum-care.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

    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] Patients may present with seizures, cranial neuropathies, hemiplegia, and other evidence of focal disease, as well as with global cerebral dysfunction manifested as coma.[ahcmedia.com] Symptoms such as ataxia, nystagmus, vertigo, facial numbness, dysphagia , persistent hiccuping , and respiratory failure ( 41%) may be present 3 .[radiopaedia.org]

  • Brain Stem Infarction

    , 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] The patient was managed with anticoagulant and supportive therapy only, with subsequent improvement of hemiparesis and dysarthria.[ncbi.nlm.nih.gov]

  • Homocystinuria

    A previously healthy girl, age 3 years 9 months, presented with right-sided hemiparesis and seizures.[ncbi.nlm.nih.gov] Given her previous psychiatric history, she was misdiagnosed with malingering until hemiplegia and incontinence became apparent.[ncbi.nlm.nih.gov] Other findings included peripheral retinopathy (8/12 [67%]), nystagmus (8/12 [67%]), strabismus (5/12 [42%]), and optic atrophy (6/12 [50%]).[ncbi.nlm.nih.gov]

  • Acute Disseminated Encephalomyelitis

    Hemiparesis, or unilateral paresis, is weakness of one entire side of the body ( hemi- means "half").[en.wikipedia.org] […] articles were published previously on central nervous system abnormalities with definite neurologic manifestations which may vary from partial facial nerve paralysis to hemiplegia[ncbi.nlm.nih.gov] To document a patient with periodic alternating nystagmus (PAN) caused by acute disseminated encephalomyelitis (ADEM) and suggest a mechanism to explain her PAN.[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] […] following cerebral infarction 2016 2017 2018 2019 Billable/Specific Code POA Exempt Type 2 Excludes transient ischemic attack (TIA) ( G45.9 ) ICD-10-CM Diagnosis Code I69.351 Hemiplegia[icd10data.com] […] 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]

  • 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] A 63-year-old man suddenly presented with right hemiplegia and was taken to our hospital.[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]

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