Hemiparesis and Hemiplegia: Difference between revisions
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'''Hemiplegia''' refers to a complete lack of motor function. '''Hemiparesis''' refers to decreased motor function. Both are usually a result of a problem with the brain | '''Hemiplegia''' refers to a complete lack of motor function. '''Hemiparesis''' refers to decreased motor function. Both are usually a result of a problem with the brain | ||
== | |||
==[[Hemiparesis and Hemiplegia causes|Causes]]== | |||
In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | ||
Latest revision as of 15:11, 18 July 2013
| Hemiparesis and Hemiplegia |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Hemiplegia refers to a complete lack of motor function. Hemiparesis refers to decreased motor function. Both are usually a result of a problem with the brain
Causes
In alphabetical order. [1] [2]
- Amyotrophic Lateral Sclerosis
- Brain tumors
- Brown-Sequard Syndrome
- Cerebral abscess
- Cerebral Palsy
- Chronic subdural hematoma
- Complicated Migraine
- Congenital structural anomalies
- Demyelinating syndrome
- Guillain-Barre Syndrome
- Inflammatory conditions
- Intracerebral hemorrhage
- Meningitis
- Multiple Sclerosis
- Periodic paralysis
- Psychogenic or hysterical weakness
- Reversible ischemic neurologic deficits (RINDs) last 24-72 hours
- Syphilis
- Thromoboembolic infarction
- Todd's Paralysis
- Transient ischemic attacks
- Transverse Myelitis
- Trauma
Diagnosis
History and Symptoms
- Onset
- Past history
- Associated symptoms/findings
- Pattern of weakness
Laboratory Findings
- Complete blood count (CBC)
- Prothrombin time / partial thromboplastin time (PT / PTT)
- Glucose
- Calcium
- Blood urea nitrogen (BUN) / creatinine
Electrolyte and Biomarker Studies
MRI and CT
Other Diagnostic Studies
- Cerebrospinal fluid (CSF) anaylsis is useful for patients suspected of having multiple sclerosis
Treatment
- Identifying and treating the underlying cause are the best ways to manage hemiplegia and hemiparesis
- Physical therapy
- Occupational therapy
- Orthotics
- Management of blood pressure and blood sugar (cerebral infarction)
Pharmacotherapy
Acute Pharmacotherapies
Surgery and Device Based Therapy
- Assistive devices for general measures
- Surgical management for mass lesions affecting the brain
References
Acknowledgements
The content on this page was first contributed by
List of contributors: