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Strokes can cause a variety of movement disorders, depending on the location and severity of the lesion. Hemiplegia is common when the stroke affects the corticospinal tract. Other causes of hemiplegia include spinal cord injury, specifically Brown-Séquard syndrome, traumatic brain injury, or disease affecting the brain.
Causes Stroke In medicine, paresis ( / p ə ˈ r iː s ɪ s , ˈ p æ r ə s ɪ s / ), compund word from greek Ancient Greek : πάρεσις , (πᾰρᾰ- “beside” + ἵημι “let go, release”), is a condition typified by a weakness of voluntary movement, or by partial loss of voluntary movement or by impaired movement.
[3] [5] Symptoms include rapid onset of arm or leg weakness and decreased reflexes. [3] Difficulty moving the eyes, speaking, or swallowing may also occur. [3] Occasionally, numbness or pain may be present. [3] Complications can include trouble breathing. [3] The cause of most cases is unclear as of 2018. [4]
Central cord syndrome, almost always resulting from damage to the cervical spinal cord, is characterized by weakness in the arms with relative sparing of the legs, and spared sensation in regions served by the sacral segments. [25] There is loss of sensation of pain, temperature, light touch, and pressure below the level of injury. [26]
Feeling this would indicate an organic cause of the paresis. If the examiner does not feel the "normal" leg's heel pushing down as the patient flexes the hip of the "weak" limb, then this suggests functional weakness (sometimes called "conversion disorder"), i.e. that effort is not being transmitted to either leg. [citation needed]
The role of local anesthesia in delaying the diagnosis of compartment syndrome is still being debated. [19] Paresthesia (altered sensation): A person may complain of "pins and needles", numbness, and a tingling sensation. This may progress to loss of sensation if no intervention is made. [19] Uncommon symptoms are:
The diagnosis of polyneuropathy begins with a history (anamnesis) and physical examination to ascertain the pattern of the disease process (such as arms, legs, distal, proximal), if they fluctuate, and what deficits and pain are involved. If pain is a factor, determining where and how long it has been present is important; one also needs to ...
Paresthesia may be transient or chronic, and may have many possible underlying causes. [1] Paresthesias are usually painless and can occur anywhere on the body, but most commonly occur in the arms and legs. [1] The most familiar kind of paresthesia is the sensation known as "pins and needles" after having a limb "fall asleep".
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