Symptoma

Hemiparesis

Hemipareses

Hemiparesis is a weakness affecting one side of the body.

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]

  • 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 can range from a minor weakness to a severe weakness or paralysis on one side of the body, resulting in: difficulty standing difficulty walking unusual sensations in the affected side of the body strain on the unaffected side of the body caused [healthline.com]

    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]

    One-sided weakness in your arms, hands, face, chest, legs or feet can cause: Loss of balance Difficulty walking Impaired ability to grab objects Decrease in movement precision Muscle fatigue Lack of coordination Where your stroke occurred in the brain [strokeassociation.org]

  • Short Legs

    When the hemiplegic patients used metal short leg braces their oxygen consumption dropped to 54% above normal and their walking speed increased to 39% below normal ( Spivek, 319). Return to Top Last Updated: May 15, 1999. [web.archive.org]

  • 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]

    In conclusion, this study puts forward a classification of adult patients with hemiparesis in chronic phase, based on abnormal gait patterns clinically identified as fall risk facilitators. [journals.plos.org]

  • Slurred Speech

    On examination, the patient was confused with hoarseness of voice and slurred speech. [ijcasereportsandimages.com]

  • Pyramidal Tract Signs

    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 have been reported in 25–36% patients. [1] [2] [5] However, the presence [ijcasereportsandimages.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]

What would be the next best step in the diagnostic workup for this patient? A. Transthoracic echocardiography to evaluate for thrombus or patent foramen ovale B. Transesophageal echocardiography to evaluate for thrombus or patent foramen ovale C. [thecardiologyadvisor.com]

Initially managed as suspected cerebrovascular accident, admitted for stroke workup, which returned unremarkable. [n.neurology.org]

His workup revealed no history of smoking, normal blood pressure, no history of hypertension, an LDL of 75, and hemoglobin A1C of 6.4, despite normal fasting glucose. [ncbi.nlm.nih.gov]

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]

Prognosis What is the prognosis of Hemiparesis and Hemiplegia? The prognosis of hemiplegia and hemiparesis is difficult to predict because symptoms may change over time. [home.neofect.com]

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]

Prognosis for Hemiparesis and Hemiplegia Hemiparesis and hemiplegia are both inherently unpredictable, with symptoms that may change over time. [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]

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]

Legatt et al. [4] reported two patients with non-embolic etiology among six patients and Hanlon et al. [1] reported two subjects with non-embolic etiology among ten patients. [annalsofian.org]

However, any individual case is important in order to increase the awareness of hypoglycemia as an important etiology of this condition. 1. Introduction Hypoglycemia could have different clinical presentations [1]. [hindawi.com]

Epidemiology of bacterial meningitis in the North American Arctic, 2000-2010. J Infect. 2015 Aug. 71 (2):179-87. [Medline]. Saha SK, Baqui AH, Darmstadt GL, et al. [medscape.com]

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]

References 2 An epidemiological survey of hemiplegic migraine. Cephalalgia 2002 ; 22 : 361 – 75. 3. Migraine with atypical aura in the recovery room: a sometimes complicated diagnosis! Anesth Analg 2008 ; 106 : 1844 – 6. 4. [academic.oup.com]

Epidemiology and outcome of Scedosporium prolificans infection, a review of 162 cases. Med Mycol, 47 (2009), pp. 359-370 [4] S. Husain, B.D. Alexander, P. Munoz, R.K. Avery, S. Houston, T. Pruett, et al. [elsevier.es]

Epidemiology [ edit ] The incidence of cerebral palsy has increased in the past 40 years. [en.wikipedia.org]

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]

At present, the pathophysiology behind hypoglycemia-induced hemiparesis is unclear. [hindawi.com]

The historically proposed pathophysiology of ictal hemiparesis is that of inhibition of the somatosensory and motor areas of the cortex. [journals.cambridge.org]

Gracies JM Pathophysiology of spastic paresis. I: Paresis and soft tissue changes.Muscle Nerve. 2005; 31: 535-551 2. Gracies JM Pathophysiology of spastic paresis. II: Emergence of muscle overactivity.Muscle Nerve. 2005; 31: 552-571 3. [thelancet.com]

"Supportive devices for preventing and treating subluxation of the shoulder after stroke". Cochrane Database Syst Rev (1): CD003863. doi:10.1002/14651858.CD003863.pub2. PMC 6984447. PMID 15674917. [en.wikipedia.org]

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]

Range of Motion – Moving the paralyzed or weak limb or extremity can help prevent stiffness and muscle contractures. [inhomephysicaltherapy.ca]