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318 Possible Causes for Hemiparesis, Nystagmus, Syncope

  • 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 largest proportions of chameleons were AMS, syncope, hypertensive emergency, systemic infection, and suspected ACS.[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]

  • Cerebral Embolism

    However, the patient then developed fever, dyspnea, and subsequent right hemiparesis.[ncbi.nlm.nih.gov] There was no history of recurrent headache, fever, head injury, seizures, heart disease, syncope, dizziness, or drug abuse. She was on no medications.[pediatrics.aappublications.org] Case 2 A 70-year-old woman was admitted to our institution with syncope and bradycardia.[ajnr.org]

  • 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] The symptomatology of the cases with saltatory evolution had subacute onset, in 1-3 days, with hypotonia, nystagmus and posture disorders.[medichub.ro] 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]

  • 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[hamsnetwork.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]

  • 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] A 43-year-old man presented with recurrent transient syncope was admitted under impression of transient ischemia attack.[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]

  • Vertebrobasilar Insufficiency

    The first patient underwent repair of a traumatic brachial artery occlusion and awoke postoperatively with bilateral cortical blindness, right hemiparesis, and multiple cranial[ncbi.nlm.nih.gov] A healthy 37-year-old man presented to our clinic with near syncope upon turning his head to the left.[ncbi.nlm.nih.gov] An abnormal positional nystagmus was observed when he rotated his head to the left.[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] The present case is a 68-year-old patient with complaints of chest pain and syncopal attacks during physical activity of the left arm, for the last six months.[ncbi.nlm.nih.gov] […] 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]

  • Cerebral Thrombosis

    She was treated with anticoagulation therapy and her hemiparesis improved within 3 days.[ncbi.nlm.nih.gov] […] or sensory deficit 34% Seizures 37% Drowsiness, mental changes,confusion, or coma 30% Dysphasia 12% Multiple cranial nerve palsies 12% Cerebellar incoordiantion 3% Nystagmus[slideshare.net] After 7 to 19 days, patients suddenly deteriorated, developing headache, fever, a decreased level of consciousness, brainstem signs, or hemiparesis.[ncbi.nlm.nih.gov]

  • Cerebellar Infarction

    […] disturbance occurs, followed by the development of spontaneous pain and hyperpathia Often a macular-sparing homonymous hemianopia and sometimes a mild, usually temporary, hemiparesis[accessmedicine.mhmedical.com] Other proposed diagnoses included hypertensive crisis, infections (respiratory, urinary, gastrointestinal, unknown origin); cerebral metastasis, encephalopathy, syncope, and[elsevier.es] (SN) or direction changed bidirectional gaze-evoked nystagmus (GEN).[ncbi.nlm.nih.gov]

  • 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] Patients may present with headache, hemiparesis/hemiplegia, seizures, syncope, memory loss and impaired consciousness or they may be asymptomatic.[turkiyeklinikleri.com] 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]

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