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1,161 Possible Causes for Hemiparesis, Nystagmus, Stroke

  • 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] How are strokes diagnosed?[medlineplus.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 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] While ischemic strokes happen when the blood flow to a part of the brain is interrupted, a hemorrhagic stroke is caused when there is bleeding into brain tissue that kills[web.archive.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] All were extensively investigated and no other causes for stroke were found.[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]

  • 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] […] for the increased stroke risk in SLE patients.[lupusnewstoday.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] Early mortality following stroke: a prospective review. Stroke. 1984 ; 15 :492-496.[stroke.ahajournals.org] The patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[sites.google.com]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[doi.org] The National Institute of Neurological Disorders and Stroke (NINDS) and other institutes of the National Institutes of Health (NIH) conduct research in laboratories at the[web.archive.org] Upbeat nystagmus was observed in all MS patients with trigeminal REZ lesions.[ncbi.nlm.nih.gov]

  • Brain Stem Infarction

    , ataxic hemiparesis.[symptoma.com] An infarction is a stroke that occurs in the brain stem which is the area my stroke hit.[thequadspot.com] In the author's experience, these patients often exhibit rebound nystagmus, which is a variant of gaze-evoked nystagmus.[dizziness-and-balance.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]

  • Cerebellar Stroke

    On univariate analysis, median DFIM was significantly higher in cases with infarcts who presented acutely with vertigo/ataxia/vomiting/headache without hemiparesis or impaired[stroke.ahajournals.org] Cerebellar stroke may present in a completely different way from common stroke syndromes in the anterior cerebral circulation.[ncbi.nlm.nih.gov] Remaining 8 patients were also symptomatic for vertigo, but they had spontaneous nystagmus. The latter group was called "disease control."[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] American Stroke Association [published corrections appear in Stroke. 2013;44:e20 and Stroke. 2012;43:e181].[doi.org] […] 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]

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