References in periodicals archive ?
5] It is characterised by a prodromal febrile illness followed within 4-10 days by the abrupt onset of cranial nerve deficits associated with encephalopathy, hemiparesis, hemisensory loss and/ or cerebellar signs.
Exclusion criteria included (1) fixed or painful contractures at the paretic ankle that could impede participation; (2) marked increase in muscle tone (Modified Ashworth Scale [MAS] >2 at paretic ankle); (3) cerebellar ataxia; (4) sensory deficits defined by loss of proprioception at the great toe ([greater than or equal to] 4 mm at distal interphalangeal joint by manual test) and/or hemisensory neglect upon neurological examination; or (5) neurological history of dementia (Mini-Mental Status Examination [less than or equal to] 23 for >9th grade education), receptive or global aphasia with inability to follow two-step commands, nonstroke neurological disorder that could alter ankle motor control, or untreated major depression.
Visual neglect, also known as hemispatial neglect, hemi-inattention, hemisensory neglect, and hemineglect, is the best known of the deficiencies in attention (Kerkhoff, 2001).
Lesion Sites, Symptoms, and Signs in Multiple Sclerosis Symptom Signs Cerebrum Cognitive impairment Deficits in attention, reasoning, and executive function (early); dementia (late) Hemisensory and motor impairment Upper motor neuron signs Affective disorders Results of validated instruments, (mainly depression) such as Composite International Diagnostic Interview (Kessler & Ustun, 2004) Epilepsy (rare) Seizures Focal cortical deficits (rare) Deficits in mentation scores (Charil et al.
Evaluating sensory response can assess for hemisensory loss; a stuporous or aphasic patient will grimace or pull away from the stimulus.
Gil-Gouveia et al in 2004 reported a patient with a history of sporadic hemiplegic migraine following oesophagogastroscopy under sedation with midazolam and fentanyl who developed prolonged hemiparesis and hemisensory loss with horizontal nystagmus and reduced swallowing, whose motor function recovered after 43 days and headache resolved after 49 days (4).
10) Hemisensory loss and hemiparesis may occur with migraines, as can diplopia, blurry vision, scotomas, vertigo, ataxia, and other neurologic events.
At the time of the stroke, general examination and blood pressure were normal, and a right hemiplegia and right hemisensory deficit with slurred speech were found.
Quantitative sensory testing, neurophysiological and psychological examination in patients with complex regional pain syndrome and hemisensory deficits.
The clinical features that are more common with a dominant left cerebral hemisphere lesion include aphasia, agraphia, acalculia, apraxias, a left gaze preference, a right visual field deficit along with right-sided hemiparesis, and a right-sided hemisensory loss.
Table 1 Anterior and posterior vascular syndromes (a) Syndrome Localization Anterior (carotid) artery syndromes Middle cerebral artery Expressive aphasia Dominant posterior frontal lobe Receptive aphasia Dominant superior temporal lobe Weakness of arm and/or leg Contralateral (to weakness) parietal lobe Loss of lateral visual fields Contralateral parietal lobe Anterial cerebral artery Weakness of leg Medial (parafalcine) Posterior (vertebrobasilar) artery parietal lobe syndromes Vertigo, nystagmus that Cerebellum changes with the direction of gaze, cranial nerve palsies, Brainstem retropulsion Hemiparesis, hemisensory loss, of one-half of the body, swallowing difficulty Lacunar syndromes (These do not have the "cortical signs" of, e.
A brain tumor is the usual initial clinical and radiologic diagnostic impression in these patients, whose presenting symptoms include acute onset of hemiplegia, hemisensory complaints, seizures, aphasia, visual field deficits, and, rarely, an alteration in the level of consciousness.