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734 Possible Causes for Hemiparesis, 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]

  • Cerebral Embolism

    However, the patient then developed fever, dyspnea, and subsequent right hemiparesis.[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] She had developed sudden complete left hemiparesis due to an embolism at the carotid bifurcation.[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] Two days after the surgery, he developed left hemiparesis. CT scans showed a large cerebral hemorrhage on the right temporal lobe with midline shift by brain metastases.[ncbi.nlm.nih.gov] A 46-year-old woman with Hodgkin's disease who underwent nonmyeloablative allogeneic stem cell transplantation developed cortical blindness, seizures, and left 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 Cerebritis

    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]

  • 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]

  • Listeria 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]

  • Homocystinuria

    A previously healthy girl, age 3 years 9 months, presented with right-sided hemiparesis and seizures.[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] A 30-year-old woman presented with severe headache, dysarthria and right hemiparesis.[ncbi.nlm.nih.gov]

  • Acute Alcohol Intoxication

    When he woke up 8 h later, right-sided hemiparesis and aphasia were observed, and cerebral CT already revealed irreversible ischemic changes.[ncbi.nlm.nih.gov] One (or more) of the following signs, developing during, or shortly after, alcohol use: (1) slurred speech (2) incoordination (3) unsteady gait (4) nystagmus (5) impairment[hams.cc] 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]

  • 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] […] 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] We herein report a 53-year-old female with repeated transient ischemic attack (TIA) symptoms including 13 instances of right hemiparesis that decreased in duration over 4[ncbi.nlm.nih.gov]

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