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89 Possible Causes for Hemiparesis, Impaired Judgement, 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] 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] In the Wind chapter of Donguibogam, left hemiparesis due to stroke is called Tan, a sort of Hyeol-Byeong, and right hemiparesis due to stroke is called Tan, a sort of Gi-Byeong[ncbi.nlm.nih.gov]

  • 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]

  • 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] […] 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] Nystagmus was present. Fundus examination was normal.[ijpmonline.org]

  • 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] Symptoms such as ataxia, nystagmus, vertigo, facial numbness, dysphagia , persistent hiccuping , and respiratory failure ( 41%) may be present 3 .[radiopaedia.org] Abducens nerve palsy and nystagmus have also been reported among the initial signs of clinical presentation in some cases [ 8 , 10 , 12 , 13 ].[ijponline.biomedcentral.com]

  • Frontal Lobe Neoplasm

    Headache Visual changes Nausea Vomiting Mental changes Lethargy Behavior changes Seizures Hemiparesis, hemiplegia Incoordination Ataxia Anosmia (inability to smell) Papilledema[quizlet.com] Headache Insomnia Drowsiness Changes in Personality Confusion Depression Easily Irritable Impaired judgement Loss of Vision Decreased heart and respiratory rate Communication[watercures.org] […] hemianopia or partial visual field deficits Anosmia may occur with frontal lobe tumors Brainstem and cerebellar tumors induce cranial nerve palsies, ataxia, incoordination, nystagmus[emedicine.medscape.com]

  • Traumatic Brain Injury

    Hemiparesis and aphasia usually resolve at least partially, except in the elderly.[merckmanuals.com] ; disrupted insight, judgement, and thought; reduced processing speed; distractibility; and deficits in executive functions such as abstract reasoning, planning, problem-solving[en.wikipedia.org] Appetite changes Partial or total loss of vision Weakness of eye muscles and/or double vision (diplopia) Blurred vision Problems judging distance Involuntary eye movements (nystagmus[northeastern.edu]

  • 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] , abulia, aphasia, neglect, or apraxia Caudate nucleus - Contralateral hemiparesis, contralateral conjugate gaze paresis, or confusion Brain stem - Tetraparesis, facial weakness[en.wikipedia.org]

  • Hypertensive Encephalopathy

    A 32-year-old man presented with slight left hemiparesis. He was slightly confused, and his blood pressure was extremely high.[ncbi.nlm.nih.gov] Alterations in consciousness may follow several hours later, which include impaired judgement and memory, confusion, somnolence and stupor.[en.wikipedia.org] Wernicke's encephalopathy a neurological disorder characterized by confusion, apathy, drowsiness, ataxia of gait, nystagmus, and ophthalmoplegia; it is due to thiamine deficiency[medical-dictionary.thefreedictionary.com]

  • Hepatic Encephalopathy

    Physical examination revealed right hemiparesis (including the face), sensory disturbances, pathological reflexes, and slightly decreased consciousness, with a Glasgow Coma[ncbi.nlm.nih.gov] […] visual judgement in the dysmetabolic brain: an fMRI study , NeuroImage , 22 , 2 , (541) , (2004) .[doi.org] Clinical features include lethargy and confusion (frequently progressing to coma); asterixis; nystagmus, pathologic; brisk oculovestibular reflexes; decorticate and decerebrate[icd9data.com]

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