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439 Possible Causes for Hemiparesis, Nystagmus, Vertigo

  • 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] We present a case of a previously healthy 36-year-old man who presented with vertigo and vomiting. MRI showed posterior circulation territory infarction.[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]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[doi.org] A 37-year old male presented with vertigo, paranoia, and tremor and had MRI changes suggestive of demyelinating disease.[ncbi.nlm.nih.gov] Upbeat nystagmus was observed in all MS patients with trigeminal REZ lesions.[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] Suicide Risk Evaluation 1166 Gastritis 1168 Syncope 1172 Ovarian CystTorsion 788 1195 Ventilator Management 1198 Ventricular Peritoneal Shunts 1202 Urinary Tract Fistula 1174 Vertigo[books.google.ro] […] 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]

  • 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] Intoxicated individuals may also experience nausea, vomiting, vertigo, headache and present with bloodshot eyes (Vonghia, et al., 2008).The DSM-5 also explains that alcohol[theravive.com] 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]

  • 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] How can we differentiate peripheral vs. central causes of vertigo at the bedside? What are the best medications for patients with vertigo? and many more…..[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]

  • Lateral Medullary Syndrome

    Clinically, the patient had a loss of pain and temperature on the left side of the face, a loss of pain and temperature on the right side of the trunk, a mild left hemiparesis[ncbi.nlm.nih.gov] RESULTS: Gait ataxia (88%), vertigo/dizziness (91%), nausea/vomiting (73%), dysphagia (61%), hoarseness (55%), Horner sign (73%), and facial (85%) and hemibody (94%) sensory[ncbi.nlm.nih.gov] Torsional nystagmus was recorded in 3 patients with the lateral medullary syndrome.[ncbi.nlm.nih.gov]

  • 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] STUDY SAMPLE: Participants included 14 patients with vertigo of VBI origin, 14 patients with vertigo of non-VBI, and 11 matched controls.[ncbi.nlm.nih.gov] An abnormal positional nystagmus was observed when he rotated his head to the left.[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] The patient's vertigo and hearing remarkably improved.[ncbi.nlm.nih.gov] (SN) or direction changed bidirectional gaze-evoked nystagmus (GEN).[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] We report a rare case of bilateral SSS due to TA in a 52-year-old woman, who exhibited severe vertigo.[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]

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