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 [3].
Left-sided
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.
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