Edit concept Question Editor Create issue ticket

Hemiparesis

Hemipareses

Hemiparesis is a weakness affecting one side of the body.


Presentation

  • Patients typically present with chronic complaints, including headache, dizziness, and numbness, although there are few reports in the literature of pediatric patients presenting acutely with neurological deficit caused by CM-I.[ncbi.nlm.nih.gov]
  • We present a case of a 15-year-old boy with pre-B acute lymphoblastic leukemia on chemotherapy, having recently received a high-dose methotrexate infusion in addition to intrathecal methotrexate therapy, who presented to our ED with acute right-sided[ncbi.nlm.nih.gov]
  • We report a case of a 20-month-old girl with atypical presentation of a fairly common condition. She presented with acute onset of fever, seizures, and hemiparesis.[ncbi.nlm.nih.gov]
  • Acute hemiparesis is a common initial presentation of ischemic stroke. Although hemiparesis due to spontaneous spinal epidural hematoma (SSEH) is an uncommon symptom, a few cases have been reported and misdiagnosed as cerebral infarction.[ncbi.nlm.nih.gov]
  • Her surgical rescue at both presentations was equally unusual, and without surgical precedent to the best of our knowledge.[ncbi.nlm.nih.gov]
Difficulty Walking
  • CASE DESCRIPTION: A 3-year old boy with normal development presented with difficulty walking and increased drooling. His mother stated he was running into objects and had balance issues for several days.[ncbi.nlm.nih.gov]
  • Symptoms caused by hemiparesis can include: Weakness Difficulty walking Loss of balance Muscle fatigue Difficulty with coordination Inability to grasp objects The location in your brain where the stroke happened determines where you will experience weakness[northwell.edu]
  • One-sided weakness in your arms, hands, face, chest, legs or feet can cause: Loss of balance Difficulty walking Impaired ability to grasp objects Decrease in movement precision Muscle fatigue Lack of coordination How can physiotherapy help cure hemiparesis[inhomephysicaltherapy.ca]
  • Some symptoms of hemiparesis include the following: Inability to maintain balance Difficulty walking Inability to grasp objects Decreased precision in movement Muscle fatigue Lack of coordination Leaning to one side while standing, walking or sitting[verywellhealth.com]
Camping
  • All completed a 2-week, goal-directed, peer-supported motor learning camp randomized to daily rTMS, CIMT, both, or neither.[ncbi.nlm.nih.gov]
  • All completed a goal-directed, peer-supported, 2-week after-school motor learning camp (32 hours of therapy).[ncbi.nlm.nih.gov]
Hypothermia
  • We present here a case of acute-onset flaccid hemiparesis in a previously healthy boy with altered mental status, hypothermia, and bowel incontinence.[ncbi.nlm.nih.gov]
Drooling
  • CASE DESCRIPTION: A 3-year old boy with normal development presented with difficulty walking and increased drooling. His mother stated he was running into objects and had balance issues for several days.[ncbi.nlm.nih.gov]
Slurred Speech
Abnormal Gait
  • This in turn leads to an abnormal gait pattern and thus the inability to walk. This movement disorder then causes consequential damages such as spasticity, irreparable joint damage and torn vertebrae.[hemiparesis-therapy.com]
Lhermitte's Sign
  • In one case, the presentation was neck pain and in the other case, it was Lhermitte's sign; brain magnetic resonance imaging (MRI) and magnetic resonance angiography were negative for signs of ischemic infarction, hemorrhage, or arterial dissection.[ncbi.nlm.nih.gov]
Altered Mental Status
  • We present here a case of acute-onset flaccid hemiparesis in a previously healthy boy with altered mental status, hypothermia, and bowel incontinence.[ncbi.nlm.nih.gov]

Workup

Hyponatremia
  • Osmotic demyelination syndrome (ODS) is a recognized complication of rapid correction of hyponatremia. However, other medical conditions have been associated recently with the development of ODS in the absence of changes in serum sodium.[ncbi.nlm.nih.gov]

Treatment

  • MAIN MEASURES: Feasibility was estimated by recruitment from three community stroke teams over a 12-month period, attrition rates, completion of treatment and successful data collection.[ncbi.nlm.nih.gov]
  • Thrombolytic or anticoagulant treatment for CVA can potentially worsen the neurological deficit. We report one such case of SSEH misdiagnosed as a CVA. Treatment with tissue plasminogen activator led to worsening of his condition.[ncbi.nlm.nih.gov]
  • A majority of studies examining repetitive task practice facilitated by robots for the treatment of upper extremity paresis utilize standardized protocols applied to large groups.[ncbi.nlm.nih.gov]
  • Outcome assessors were blinded to treatment. Interim safety analyses occurred after 12 and 24 participants. Intention-to-treat analysis examined treatment effects over time (linear mixed effects model).[ncbi.nlm.nih.gov]
  • Thus a total of 15 (33%) patients received an endovascular procedure and 21/45 (46.7%) received an acute treatment.[ncbi.nlm.nih.gov]

Prognosis

  • Diagnosis can confidently be made using cerebral MRI including diffusion-weighted imaging (DWI), so that patients can be informed about the favorable prognosis.[ncbi.nlm.nih.gov]
  • Every patient is different, but there is no way to conclusively predict the prognosis of these disorders. Some people spontaneously recover, even with no treatment. Others make little progress, even with extensive treatment.[spinalcord.com]
  • Diffusion-weighted MRI predicts prognosis in severe hypoglycemic encephalopathy. J Clin Neurosci 2006;13:696-699. [ Links ] 15. Maekawa S, Aibiki M, Kikuchi K, Kikuchi S, Umakoshi K.[scielo.br]
  • The prognosis for AH following ischemic stroke is generally good. This chapter provides an update on the clinical features, lesion topography, treatment, and prognosis of AH.[link.springer.com]

Etiology

  • OBJECTIVE: To investigate whether time since stroke onset, etiology, and lesion side is associated with spatiotemporal and angular gait parameters of individuals with chronic stroke.[ncbi.nlm.nih.gov]
  • However, new-onset hemiparesis in pediatric patients with leukemia may be due to a number of different etiologies, including most common side effects from chemotherapeutic agents.[ncbi.nlm.nih.gov]
  • More intriguingly, did diffuse aortopathy underpin these diverse etiologies and result in penetrating intimal ulcer with blow out in the innominate artery, intramural hematoma in the arch and descending thoracic aorta and dissection in abdominal aorta[ncbi.nlm.nih.gov]
  • Further down the differential lie the more exotic and ever popular suspects like the immunological, infectious, or neoplastic etiologies.[forums.studentdoctor.net]
  • Stroke 14:762–764 PubMed CrossRef Google Scholar Kumar N, Sanchetee PC, Singh KK (1996) Clinical and etiological profile of ataxic hemiparesis.[link.springer.com]

Epidemiology

  • Hashimoto's encephalopathy: epidemiologic data and pathogenetic considerations. J Neurol Sci 2004;217:165–8. [ CrossRef ] [ Pubmed ] Ferracci F, Carnevale A. The neurological disorder associated with thyroid autoimmunity.[ijcasereportsandimages.com]
  • Horre, G.S. de Hoog Epidemiology and outcome of Scedosporium prolificans infection, a review of 162 cases [4] S. Husain, B.D. Alexander, P. Munoz, R.K. Avery, S. Houston, T.[elsevier.es]
  • Epidemiology [ edit ] The incidence of cerebral palsy has increased in the past 40 years.[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • This report discusses the typical clinical and radiological features of methotrexate neurotoxicity in addition to differential diagnoses and the proposed pathophysiological mechanisms. 2016 BMJ Publishing Group Ltd.[ncbi.nlm.nih.gov]
  • Multiple pathophysiologic mechanisms are possible for this unusual phenomenon and has been previously described. Its implication in therapeutic decision making in a patient with an acute emergent condition has never been discussed.[ncbi.nlm.nih.gov]
  • However, additional research, especially in the pediatric population, is warranted to further elaborate on the causality and pathophysiology of these neurological symptoms. Copyright 2017 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • Cortical reorganisation in the unaffected hemisphere after the first stroke may be involved in the occurrence of such symptoms. fMRI may be useful for evaluating the pathophysiology of these patients.[doi.org]

Prevention

  • Immediately after the passive stretch, a significant torque decrease can be seen in hypertonic muscle; it is believed that this reduction may be associated with the physiological overlap between actin and myosin filaments and so preventing the muscle[ncbi.nlm.nih.gov]
  • Abstract Spontaneous spinal epidural haematoma (SSEH) is a rare condition that requires urgent surgical intervention in order to prevent permanent neurological deficit. SSEH commonly presents as a paraparesis or tetraparesis.[ncbi.nlm.nih.gov]
  • Seizure is the most debilitating condition, as it greatly impairs quality of life in both the affected individuals and their caregivers and prevents them from active social participation.[ncbi.nlm.nih.gov]
  • The simulation creates real understanding for those concerned and supports stroke prevention. The hemiparesis simulator is independent from size and side of the body and can be used both alone and in combination with the age simulation suit GERT.[age-simulation-suit.com]
  • Range of Motion - Moving the paralyzed or weak limb or extremity can help prevent stiffness and muscle contractures.[inhomephysicaltherapy.ca]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!
Last updated: 2014-05-06 22:04