On the 12th and the 26th day of follow-up, his aphasia and hemiparesis
were respectively eliminated.
3 This asymmetric and enlarged brain tissue is associated with intractable seizures, developmental delay, contralateral hemiparesis
, and hemianopia.
A person most frequently experiences simple or complex partial seizures, varying degree of hemiparesis
, cognitive disorder, language and learning disorders, depending upon the severity of the brain damage [1, 7, 12, 13].
Prognosis is better for patients who develop hemiparesis
after the age of two years and in the absence of prolonged or recurrent seizures.
The argument could be made that we simply do not have knowledge about brain circuits instantiating psychiatric symptoms, as we do for neurologic symptoms, like hemiparesis
Table 1: Outcome analysis of the cases Parameters Frequency % GCS Mild 12 46 Moderate 6 23 Severe 8 31 Sex Male 23 88 Female 3 12 Site Left 15 58 Right 10 38 Bilateral 1 4 Contracoup injury Yes 8 31 No 18 69 Associated injury Yes 20 77 No 6 23 Management Conservative 15 57 Craniotomy 9 34 Drakes 2 9 GOS 5 6 23 4 11 42 3 6 23 1 3 12 Neurological deficits Nil 17 65 Hemiparesis
3 11 Opercular syndrome 3 11 Length of stay (days) Minimum 2 Maximum 52 Age (years) Minimum 5 Maximum 78 Figure 4: Male:female ratio (in %).
The presence of physical post-stroke sequelae, particularly hemiparesis
and aphasia and the treatment with levetiracetam for vascular epilepsy delayed the diagnosis of stroke-related mania.
Although seizures are the most common presentation, such as in our case presentation, PRES can also present with headache, visual disturbances, altered mental status, vomiting, ataxia, aphasia, or hemiparesis
was attributed to 'myocardial infarction' rather than stroke.
All patients were recruited from the Public Health System for treatment of hemiparesis
or hemiplegia after a stroke in the acute stage.
For example, while evaluating a patient who has right-sided hemiparesis
, a neurologist should spend all his/her effort to determine the underlying etiology For instance, the right-sided hemiparesis
could be due to a brain infarction, hemorrhage, or a tumor.
Trauma staff were notified, and, upon evaluation, they noted a new left hemiparesis