Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0018991 (hemiplegia)
 3,997 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The patient, a 29-year-old female, was hospitalized because of clouding of consciousness, fever and right hemiplegia 4 days after the onset. On first examination she was found having fever in the 37 degree range, positive CRP, hepatomegaly, anemia and hepatic function impairment. Neurological examination revealed somnolence, conjugate deviation to the left and stiff neck. The muscular power measured about 3+ for the upper extremities and 0 for the lower extremities. Babinski sign was present on the right side. The spinal fluid showed an increase in cell counts, especially the neutrophil count. CT scans showed diffuse white-matter hypodensity in the left hemisphere. Soon after admission the patient fell into coma and died 6 days after admission. Autopsies led to a diagnosis of Hurst's encephalitis complicated by hepatoma with liver cirrhosis. It was reported that the immune complex was found in 25.9% of liver cirrhosis patients. From this fact it is suggested that Hurst's encephalitis might be elicited by some immunological mechanism.
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PMID:[A case of Hurst's encephalitis complicated by hepatoma]. 217 57

Case 1. A seven-year-old boy was admitted to our hospital shortly after developing right hemiplegia and motor aphasia during rope-jumping play. Neither cervical trauma nor signs of cervical and pharyngeal inflammation were present. The physical examination was negative. The carotid angiogram on the day of admission gave poor visualization of the middle cerebral artery group, although the computerized tomographic finding was not remarkable. His neurological status gradually got better, while the routine laboratory studies gave only a slight increase of ESR (26 mm/hour) and positive CRP(I+). There were no particular findings of CSF from lumbar tap or of serological studies. The second computerized tomographic scan 42 hours after clinical onset showed a wide low dense area with obscure margin in the left parieto-temporal region, which was enhanced variously with intravenous contrast media. In about ten days his clinical state was remarkably improved. The second carotid angiogram one month after admission showed a poor filling of the middle cerebral artery territory and beaded appearance of the artery. The patient was discharged on the 46th day with a minimum right hemiparesis. Case 2. A ten-year-old boy was admitted with complaint of right hemiparesis and motor aphasia developing at night. The physical examination was negative. The laboratory studies were also negative. The computerized tomographic scan five days after onset showed a low dense area in size of 2 x 1.5 x 2 cm in the region of the left Nucleus lentiformis. No enhancement effect was seen. The left carotid angiogram on the same day revealed stenotic lesions at the M1 and the posterior temporal artery.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Cerebral ischemic lesions in children and primary cerebral angiitis: report of two cases]. 380 15

Arm movements during gait in children with cerebral palsy (CP) are altered compared to typically developing children (TD). We investigated whether these changes in arm movements alter interlimb coordination in CP gait. 3D gait analysis was performed in CP (diplegia [DI]: N = 15 and hemiplegia [HE]: N = 11) and TD (N = 24) children at preferred and fast walking speeds. Mean Relative Phase (MRP, i.e. mean over the gait cycle of the Continuous Relative Phase or CRP) was calculated as a measure of coordination, standard deviation of CRP was used as a measure of coordinative stability, and the sign of MRP indicated which limb was leading (for all pair combinations of the four limbs). In HE, coordination was significantly altered, less stable and a different leading limb was found compared to TD whenever the most affected arm was included in the studied limb pair. In DI, coordination deteriorated significantly when any of the two legs was included in the studied limb pair, and coordinative stability was significantly affected when any of the two arms was included. In almost all limb pair combinations, a different limb was leading in DI compared to TD. Increasing walking speed significantly improved coordination and coordinative stability of several limb pairs in DI. Coordination and limb-leading deficits were mostly linked to the affected limb. The compensating (non-affected) arm primarily affected coordinative stability, which underlines the importance of active arm movements in HE. Increasing walking speed may be used to improve interlimb coordination in DI.
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PMID:Is interlimb coordination during walking preserved in children with cerebral palsy? 2252

We report regarding a 46 year old female patient, who presented with complaints of severe headache and right sided weakness. Examination revealed right Hemiplegia with BP of 144/90 mm Hg. Investigations revealed Creatine Kinase: 470IU/L, normal Blood counts, ESR and CRP. Thyroid profile was normal. Fibrinogen levels were 17.9mg/dl and repeat test after 1 week showed 24.6mg/dl. ECG showed incomplete left bundle branch block. Echocardiography was normal.
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PMID:Interesting Case of Stroke. 3131 Dec 28