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396 Possible Causes for Hemiparesis, Nystagmus, Psychosis

  • 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] Post-stroke emotional difficulties include anxiety, panic attacks, flat affect (failure to express emotions), mania, apathy and psychosis.[en.wikipedia.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]

  • 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] @article{Lim2004LupusCA, title {Lupus cerebritis and steroid psychosis in mixed connective tissue disorder.}, author {J K Lim and Mark L. Kraus and Susan S.[semanticscholar.org] […] 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]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[doi.org] Psychosis None of the studies reported the absolute incidence of psychosis.[dx.doi.org] Upbeat nystagmus was observed in all MS patients with trigeminal REZ lesions.[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] Very rarely observed acute psychosis, systematized delusion, and other severe mental disorders.[minclinic.ru] The patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[sites.google.com]

  • Homocystinuria

    A previously healthy girl, age 3 years 9 months, presented with right-sided hemiparesis and seizures.[ncbi.nlm.nih.gov] Whereas neuropsychiatric abnormalities are often recognized in untreated homocystinuria, initial presentation with acute psychosis has only rarely been reported.[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]

  • 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] […] neuropsychiatric manifestation was not attenuated after the operation, and was gradually ameliorated by high doses of corticosteroid thereafter, suggesting a diagnosis of lupus psychosis[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]

  • Wernicke Encephalopathy

    También manifestó síntomas oculares y neurológicos como hemiparesis, movimientos involuntarios, confusión. La RM reveló lesiones compatibles con E. de Wernicke.[enfermedad-de-wernicke.weebly.com] This case presents a patient with thiamine deficiency after gastric bypass, although unusual in itself, further complicating the case was the initial diagnosis of acute psychosis[ncbi.nlm.nih.gov] An examination revealed spontaneous upbeat nystagmus ( Video 1 ), gaze-evoked nystagmus ( Video 2 ), and gait ataxia. She had no ophthalmoplegia.[nejm.org]

  • Cerebral Embolism

    However, the patient then developed fever, dyspnea, and subsequent right hemiparesis.[ncbi.nlm.nih.gov] V. ( 1989 ) Overview of depression and psychosis in Alzheimer's disease . American Journal of Psychiatry , 46 , 577 – 587 .[cambridge.org] 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]

  • 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] There were no studies done or cases reported relating hypertension to psychosis. To our knowledge this is the first case of hypertension related psychosis.[omicsonline.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]

  • 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]

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