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184 Possible Causes for Hemiparesis, Poor Outcome, Pyramidal Tract Signs

  • Subarachnoid Hemorrhage

    A 73-year-old woman was transferred to our hospital for sudden headache and subsequent left hemiparesis.[] poor outcome of patient with aSAH.[] […] often called a “thunderclap headache”), nausea, confusion, altered consciousness, seizure, visual disturbances, cardiac arrhythmias, and focal neurological deficits such as hemiparesis[]

  • Stroke

    SSEH presenting as a hemiparesis is less common and in such situations, it can be mistaken for a cerebrovascular accident (CVA).[] Our case had a poor outcome, unlike the majority of previously reported cases. Copyright 2018 National Stroke Association. Published by Elsevier Inc.[] Serum S100 has been associated with poor outcome after SAH [ 29 ].[]

  • Marchiafava Bignami Disease

    […] mimicking conditions were differentiated from MBD by the occurrence of solitary and rapidly disappearing splenial lesions; fewer signs and symptoms with exception of seizures, hemiparesis[] Type A: acute to subacute onset of consciousness impairment, pyramidal tract signs, limb hypertonia, seizures, hyperintense swelling of the corpus callosum on T2-weighted[] According to MOSH, 4 patients were placed in the poor outcome subgroup (MOHS   3), 5 patients were placed in the favorable outcome subgroup (MOHS   2).[]

  • Cerebral Palsy

    Spastic Hemiplegia/Hemiparesis: This type affects only one side of body and is more prevalent in the arms than the legs.[] Student t test was used to compare the quantitative variables between 2 groups (good vs poor outcome).[] […] neonatal brain against hypoxic-ischemic injury Brain reorganisation in cerebral palsy : a high-field functional MRI study. 1 subject, 15 years old, with perinatal left-sided hemiparesis[]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[] […] both in the experimental group and in the control group had poor outcomes.[] Cunningham, A 17-Year-Old Girl With Acute Onset of Hemiparesis, Pediatric Emergency Care, 32, 6, (388), (2016).[]

  • Hemiparesis

    Learning Points * Define hemiplegia and distinguish it from hemiparesis. * Differentiate between spastic hemiparesis and flacid hemiparesis.[] Also, myoclonus or tremor is seen in up to 38% patients, hyperreflexia and other pyramidal tract signs in 85% patients and psychosis, visual hallucinations and paranoid delusions[] Basal ganglia involvement is also correlated with poor clinical outcome 5 .[]

  • Hemiplegia

    Learning Points * Define hemiplegia and distinguish it from hemiparesis. * Differentiate between spastic hemiparesis and flacid hemiparesis.[] Sustained clonus is a sign of pyramidal Tract lesion. [6] Reflexes Reflexes are altered and also vary according to the stage of recovery.[] These researchers also found that the presence of neglect or sensory loss at baseline was associated with poor outcome.[]

  • Brown-Sequard Syndrome

    Characteristic neurologic findings, including a unilateral hemiparesis with associated contralateral sensory findings, were noted at the time of presentation.[] After two weeks of intensive treatment with various HBOT regimens, the clinical outcome was still poor, but at six months after the injury her neurological condition was greatly[] A 65-year-old woman presented with acute onset of unsteadiness, left side hemiparesis, left limb dysmetria, left side partial Horner syndrome, and paresthesia in the right[]

  • Intracerebral Hematoma

    We report a 57-year-old man who presented one month after sustaining a traumatic right temporal intracerebral hematoma with history of headache, left hemiparesis and altered[] outcome.[] , abulia, aphasia, neglect, or apraxia Caudate nucleus - Contralateral hemiparesis, contralateral conjugate gaze paresis, or confusion Brain stem - Tetraparesis, facial weakness[]

  • Homocystinuria

    A previously healthy girl, age 3 years 9 months, presented with right-sided hemiparesis and seizures.[] Plasma homocysteine and MMA, routinely measured at clinical follow-up, may be poor predictors for neurodevelopmental outcomes.[] A 30-year-old woman presented with severe headache, dysarthria and right hemiparesis.[]

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