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63 Possible Causes for Hemiparesis, Nystagmus, Unilateral Facial Weakness

  • 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] […] movement 0—Normal 1—Minor facial weakness 2—Partial facial weakness 3—Complete unilateral palsy 5 Motor function (arm) 0—No drift a.[doi.org]

  • 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]

  • 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]

  • 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]

  • 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] […] movement 0—normal 1—minor facial weakness 2—partial facial weakness 3—complete unilateral palsy 5 Motor function (arm) 0—no drift a.[doi.org]

  • Primary Progressive Multiple Sclerosis

    […] symptoms may include: Spastic paraparesis : An increasingly spastic gait in which your legs will begin to stiffen, causing a visible limp and/or rhythmic jerkiness Spastic hemiparesis[verywell.com] […] muscle spasms, or difficulty in moving; difficulties with coordination and balance (ataxia); problems in speech (dysarthria) or swallowing (dysphagia), visual problems (nystagmus[disabled-world.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[dx.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]

  • Brain Neoplasm

    Supratentorial tumors in children are more commonly associated with seizures, hemiparesis, visual field cuts, speech difficulties, and intellectual disturbance.[emedicine.medscape.com] […] 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]

  • Acoustic Neuroma

    Complications of surgery: Death (1%), hemiparesis (1%), CN palsey (5%), hematomas (2.2%), CSF fistulas (9.2%), hydrocephalus (2.3%), bacterial meningitis (1.2%), wound revisions[en.wikibooks.org] Hyperventilation for 30 seconds provoked an ipsilateral beating nystagmus and reproduced the vertiginous sensation in both subjects.[ncbi.nlm.nih.gov] Facial weakness is rare and should prompt investigation of differential diagnoses such as arteriovenous malformation (AVM), meningioma, hemangioma, and facial neuroma.[symptoma.com]

  • Malignant Glioma

    A few days after the operation, the level of consciousness gradually worsened and left hemiparesis developed.[ncbi.nlm.nih.gov] Facial sensory loss and a primary-position, upbeating nystagmus may be seen.[emedicine.medscape.com] The elder brother presented with right hemiparesis and hemihypesthesia at 14-year-old.[ncbi.nlm.nih.gov]

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