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Hemiplegia, in its most severe form, is the complete paralysis of one entire side of the body. Either hemiparesis or hemiplegia can result from a variety of medical causes, including congenital conditions, trauma, tumors, traumatic brain injury and stroke.
Alternating hemiplegia (also known as crossed hemiplegia) is a form of hemiplegia that has an ipsilateral cranial nerve palsies and contralateral hemiplegia or hemiparesis of extremities of the body. The disorder is characterized by recurrent episodes of paralysis on one side of the body. [ 1 ]
Symptoms directly related to the Kernohan's notch is most commonly paralysis or weakness on one side of the body (ipsilateral paralysis / paresis), [8] the so-called Kernohan's sign. Paralysis and weakness is known as hemiplegia and hemiparesis, respectively.
Hemiparesis – The loss of function to only one side of the body; Triparesis – Three limbs. This can either mean both legs and one arm, both arms and a leg, or a combination of one arm, one leg, and face; Double hemiparesis – All four limbs are involved, but one side of the body is more affected than the other; Tetraparesis – All four limbs
One of the unique characteristics of AHC is that hemiplegic attacks, as well as other symptoms which may co-occur with hemiplegia, cease immediately upon sleep. During strong attacks, the symptoms may reoccur upon waking. [4] [6] Hemiplegic attacks can occur suddenly or gradually, and the severity of an attack can vary over its duration. [6]
Common symptoms associated with monoplegic patients are weakness, numbness, and pain in the affected limb. Monoplegia is a type of paralysis that falls under hemiplegia . While hemiplegia is paralysis of half of the body, monoplegia is localized to a single limb or to a specific region of the body.
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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.