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73 Possible Causes for Hemiparesis, Homonymous Hemianopsia, 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] hemianopsia) spatial problems with depth perception or directions such as up/down and front/back inability to localize or recognize body parts inability to understand maps[web.archive.org] 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 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] On the neurological examination, right homonymous hemianopsia was found.[omicsonline.org] The symptomatology of the cases with saltatory evolution had subacute onset, in 1-3 days, with hypotonia, nystagmus and posture disorders.[medichub.ro]

  • Cerebral Embolism

    However, the patient then developed fever, dyspnea, and subsequent right hemiparesis.[ncbi.nlm.nih.gov] She suddenly developed left homonymous hemianopsia and was diagnosed with cerebral embolism.[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 patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[sites.google.com] […] 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[ncbi.nlm.nih.gov]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[doi.org] Upbeat nystagmus was observed in all MS patients with trigeminal REZ lesions.[ncbi.nlm.nih.gov] Cunningham, A 17-Year-Old Girl With Acute Onset of Hemiparesis, Pediatric Emergency Care, 32, 6, (388), (2016).[dx.doi.org]

  • Intracerebral Hematoma

    We report a 57-year-old man who presented one month after sustaining a traumatic right temporal intracerebral hematoma with history of headache, left hemiparesis and altered[ncbi.nlm.nih.gov] There may be little or no evidence of the usual signs of cerevellar disease, & only a minority of cases show nystagmus or ataxia of the limbs.[enotes.tripod.com] Although neuro-otological examinations especially gaze nystagmus, eye tracking and positional nystagmus tests, were useful for diagnosing the central vestibular lesions, no[ispub.com]

  • 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] […] 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]

  • Subdural Hematoma

    An 81-year-old man, presenting with left hemiparesis, underwent craniotomy for right organized CSH after 2 burr-hole surgeries.[ncbi.nlm.nih.gov] Hinoki MTerayama K Physiological role of neck muscles in the occurrence of optic eye nystagmus: relationship of optic head nystagmus to optic eye nystagmus in case of procanization[doi.org] […] present the case of a male patient diagnosed with stage IV prostate adenocarcinoma with bone metastasis, who is admitted for left hemisphere subdural hematoma with right hemiparesis[ncbi.nlm.nih.gov]

  • Subclavian Steal Syndrome

    At the age of 56, he had had an acute ischemic stroke presenting with right hemiparesis.[scielo.br] […] report the case of a 56-year-old man who presented with arterial hypotension, lightheadedness, vomiting, a sense of tingling in his right arm, and a right-beating horizontal nystagmus[ncbi.nlm.nih.gov] In two of the three cases, a positional nystagmus was detected, which was vertical in two.[ncbi.nlm.nih.gov]

  • Vascular Dementia

    […] diabetes mellitus may provide important information Cardiac auscultation: Cardiac rhythmic and valvular abnormalities may be detected Neurologic assessment: Spasticity, hemiparesis[emedicine.com] Other neurological signs may include primitive reflexes, homonymous hemianopsia, pseudobulbar palsy, or a gait disorder.[web.archive.org] Gaze-evoked nystagmus is common. All patients have gait ataxia and the majority have lower limb ataxia.[doi.org]

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