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Its presence within the first 10 days of a stroke is a stronger predictor of poor functional recovery after one year than several other variables, including hemiparesis, hemianopsia, age, visual memory, verbal memory, and visuoconstructional ability. Neglect is probably among the reasons patients with right hemisphere damage are twice as likely ...
Weber's syndrome, also known as midbrain stroke syndrome or superior alternating hemiplegia, is a form of stroke that affects the medial portion of the midbrain. It involves oculomotor fascicles in the interpeduncular cisterns and cerebral peduncle so it characterizes the presence of an ipsilateral lower motor neuron type oculomotor nerve palsy and contralateral hemiparesis or hemiplegia.
Superior alternating hemiplegia (also known as Weber syndrome) has a few distinct symptoms: contralateral hemiparesis of limb and facial muscle accompanied by weakness in one or more muscles that control eye movement on the same side. [2] Another symptom that appears is the loss of eye movement due to damage to the oculomotor nerve fibers.
Contralateral spastic hemiparesis: Medial lemniscus: Contralateral PCML (aka DCML) pathway loss (tactile, vibration, and stereognosis) Abducens nerve: Strabismus (ipsilateral lateral rectus muscle paralysis - the affected eye looks down and towards the nose). Abducens nerve lesion localizes the lesion to inferior pons.
Central facial palsy is often characterized by either hemiparalysis or hemiparesis of the contralateral muscles in facial expression. [2] Muscles on the forehead are left intact. Also, most patients have lost voluntary control of muscle movement in the face—however, muscles in the face involved in spontaneous emotional expression often remain ...
He recognized that the official definition of PTSD failed to describe their mental anguish, leading him to coin the term “moral injury.” The ideals taught at Parris Island “are the best of what human beings can do,” said William P. Nash, a retired Navy psychiatrist who deployed with Marines to Iraq as a combat therapist.
Medial medullary syndrome, also known as inferior alternating syndrome, hypoglossal alternating hemiplegia, lower alternating hemiplegia, [1] or Dejerine syndrome, [2] is a type of alternating hemiplegia characterized by a set of clinical features resulting from occlusion of the anterior spinal artery.
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