Hemiplegia
| Hemiplegia | |
| ICD-10 | G80.2, G81 |
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| ICD-9 | 342-343, 438.2 |
| MeSH | D006429 |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Hemiplegia is a condition where there is paralysis in one vertical half of a patient's body. This is not hemiparesis wherein one half of the body is weakened, i.e. one arm and its corresponding leg are weak. Hemiplegia is similar to hemiparesis, but hemiparesis is considered less severe.[1]
Causes
It can be congenital (occurring before, during, or soon after birth) or acquired (as from illness or stroke).
It is usually the result of a stroke, although disease processes affecting the spinal cord and other diseases affecting the hemispheres are equally capable of producing this clinical state. Hemiplegia can be a more serious consequence of stroke than spasticity.[2]
Cerebral palsy can also affect one hemisphere, resulting in limited function. This does not cause paralysis but instead causes spasms. Cerebral palsy where this is the only symptom is often referred just as hemiplegia.
Type 2 diabetes mellitus can lead to transient hemiplegia.
A rare cause of hemiplegia is due to local anaesthetic injections given intra-arterially rapidly, instead of given in a nerve branch.
Common Causes
Causes by Organ System
| Cardiovascular | |
| Chemical / poisoning | |
| Dermatologic | No underlying causes |
| Drug Side Effect | |
| Ear Nose Throat | |
| Endocrine | |
| Environmental | No underlying causes |
| Gastroenterologic | |
| Genetic | Apolipoprotein A1 deficiency |
| Hematologic | Bone marrow failure neurologic abnormalities, Hyper IgE syndrome, autosomal recessive |
| Iatrogenic | No underlying causes |
| Infectious Disease | Cerebral abscess, Cerebellar abscess, Cortical thrombophlebitis, Encephalitis, Hydatid cyst, Infective endocarditis, Meningitis, Paragonimiasis, Rasmussen subacute encephalitis, Toxoplasmosis |
| Musculoskeletal / Ortho | |
| Neurologic | Acute disseminated encephalomyelitis, Acute infantile hemiplegia, Alternating hemiplegia, Benedikt's syndrome, Brushfield-Wyatt syndrome, Cerebellar abscess, Cerebral abscess, Cerebral agenesis, Cerebral angioma, Cerebral contusion, Cerebral embolism, Cerebral hemorrhage, Cerebral palsy, Cerebral thrombosis, Cortical thrombophlebitis, Encephalitis, Epiloia, Extradural hemorrhage, Head injury, Hypertensive encephalopathy, Meningitis, Millard-Gubler syndrome, Motor neuron disease, Multiple sclerosis, Pick's disease, Porencephaly, Primary neoplasm, Rasmussen subacute encephalitis, Raymond-Foville syndrome, Schilder's disease, Secondary neoplasm, Sphenopalatine ganglion stimulation, Stroke, Stroke rehabilitation, Sturge-Weber syndrome, Subarachnoid hemorrhage, Subdural haematoma, Toxoplasmosis, Traumatic cerebral hemorrhage, Weber's syndrome |
| Nutritional / Metabolic | |
| Obstetric/Gynecologic | |
| Oncologic | Cerebral angioma, Primary neoplasm, Secondary neoplasm |
| Opthalmologic | |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | Hysteria |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | |
| Rheum / Immune / Allergy | |
| Sexual | No underlying causes |
| Trauma | Traumatic cerebral hemorrhage |
| Urologic | No underlying causes |
| Dental | No underlying causes |
| Miscellaneous | Klippel Feil Syndrome, Birth injury |
Causes in Alphabetical Order
- Acute infantile hemiplegia
- Birth injury
- Bone marrow failure neurologic abnormalities
- Brushfield-Wyatt syndrome
- Cerebral agenesis
- Cerebral angioma
- Cortical thrombophlebitis
- Hyper IgE syndrome, autosomal recessive
- Internal carotid agenesis
- Primary neoplasm
- Rasmussen subacute encephalitis
- Raymond-Foville syndrome
- Sphenopalatine ganglion stimulation
- Traumatic cerebral hemorrhage
Hemiplegic migraine
Hemiplegic migraine is a form of migraine during which the person will experience the feeling of numbness on one side of their body. This feeling will usually pass within 2-12 hour.
See also
References
- ↑ http://sprojects.mmi.mcgill.ca/gait/hemiplegic/intro.asp
- ↑ Patten C, Lexell J, Brown HE. Weakness and strength training in persons with poststroke hemiplegia: Rationale, method, and efficacy. J Rehab Res Dev 2004;41:293-312. Fulltext. PMID 15543447.
External links
- CHASA Children's Hemiplegia and Stroke Association non-profit organization
- HemiHelp, a UK based childhood hemiplegia (cerebral palsy) charity
- AHC Kids Dutch website about Alternating Hemiplegia of Childhood
- Spinal Cord Injury Peer Support
Template:Cerebral palsy and other paralytic syndromes
Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs
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