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Query: UMLS:C0018991 (hemiplegia)
 3,997 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors report three cases of cerebral vascular spasm following transfrontal removal of large pituitary neoplasms. One patient awakened from surgery hemiparetic, but has since recovered. A second patient developed hemiparesis with confusion on the fifth postoperative day and eventually died. The third patient developed hemiplegia on the tenth postoperative day, but recovered completely. Vascular spasm was documented angiographically in all three cases. Possible mechanisms underlying this unusual complication are discussed.
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PMID:Vasospasm following transcranial removal of large pituitary adenomas. Report of three cases. 43 Jan 36

Previous investigators have reported unfavorable neurologic and developmental outcome of small-for-gestational age (SGA) infants (birth weight less than 1,500 grams born at term or at less than 30 weeks. of gestation. Since obstetrical considerations for the delivery of a SGA fetus often arise between 30 and 38 weeks, the outcome of these survivors becomes a relevant issue. In 1975 and 1976, twenty-eight of 47 such infants survived and 21 were followed sequentially during the first two years. Their birth weight was 1,220 +/- 195 grams (mean +/- S.D.) and the gestation 33.4 +/- 2 weeks. Each SGA infant was paired with a birth weight-matched appropriate-for-gestation (AGA) infant whose birth weight was 1,195 +/- 190 grams and gestation 29 +/- 2 weeks. The weight, length, and head circumference of the SGA infants attained the tenth percentile by 6 to 8 months and were similar to the AGA group. Quarterly neurologic examinations showed similar findings during the first year in the two groups. At 2 years, two SGA (diplegia) and one AGA (hemiplegia) infants were abnormal. The quarterly Bayley scores of the SGA infants were lower during the first 18 months but at 24 months, the two groups had similar scores. The favorable outcome in preterm SGA infants weighing less than 1,500 grams may serve as useful information in making clinical decisions for the management of mothers with suspected intrauterine growth retardation.
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PMID:The preterm small-for-gestational age infant: a two-year follow-up study. 43 8

The palmo-mental reflex has been described, together with other neurological signs, in senile dementia. It is, however, found in normal adults, where its frequency increases with age. In vascular hemiplegia it has a considerably higher incidence, nevertheless it is not a sign of mental deterioration.
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PMID:Semiological value of the palmo-mental reflex in vascular hemiplegia. 43 65

A 62 year old, right handed man developed a pure agraphia as the result of a left temporal lobe stroke. Isolated writing disturbances persisted for seven months until he had a second cerebrovascular accident resulting in total aphasia and right hemiplegia. A CAT scan obtained four months after the first episode showed a localised dilatation of the posterior portion of the left Sylvian cistern and patchy areas of low absorption in the left temporal lobe. The report supports suggestions that localised damage to the language area can produce a pure agraphia as the sole detectable disorder of language organisation.
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PMID:Pure agraphia: a discrete form of aphasia. 43 36

A case of internal carotid artery occlusion due to attempted hanging was reported. This 51-year-old man, who failed in suicidal hanging, remained in right hemiplegia and total aphasia. Left carotid arteriogram revealed complete occlusion of the internal carotid artery approximately 1 cm distal to its origin. Surgical exposure of the internal carotid artery was performed 4 weeks after the attempted hanging. The occlusive portion was percutaneously injured by ligature, whereby there was a horizontal breach of intima, media and adventitia at the level of the ligature. The damaged arterial wall was resected, and a reconstructive vascular surgery in the neck was performed. But postoperative arteriogram showed an unsatisfactory result. Pathogenesis of traumatic involvements of the internal carotid artery was discussed with literature. Also it was discussed that internal carotid artery occlusion was a very important factor causing death in suicidal hanging.
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PMID:[Cervical internal carotid artery occlusion after recovery from suicidal hanging--a case report (author's transl)]. 44 May 26

A hundred and one patients undergoing rehabilitation for hemiplegia due to hemispheric cerebrovascular accident were observed for a period of six months after the accident. Detailed records of the analytical and functional aspects of motricity enabled the extent of the deficiencies and the progress of the patients to be evaluated. The results illustrate certain classic neurological concepts and show how much time is required before significant improvements can be obtained. Progress is more satisfactory with right hemiplegics than with left ones.
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PMID:[The evolution of motricity after a stroke (author's transl)]. 44 81

61 patients with hemiplegia who had undergone hospital rehabilitation were examined 1 year later and 29 patients after an interval of 10--11 years. Special attention was paid to improvements and relapses with respect to walking ability, personal care, and social situation. The investigation showed that 62% of personal living on their own made progress in the activities of daily life; there were no relapses. 14% of those living in a family showed improvement while 29% relapsed. Of patients living in nursing homes only 5% showed improvement, while there were relapses in 42% of cases. The percentages of cases showing improvement (or relapses) with respect to walking ability are as follows: 20% (7.5%), 30% (22%) and 0% (21%). 32% of the patients had regular physiotherapy sessions. A change in the social situation had resulted for 50%; many of these were lonely and missed visitors. Persons looking after themselves showed the best prognosis following rehabilitation.
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PMID:[Catamnestic studies in hemiplegics]. 45 4

Acute hemiplegia of childhood is briefly reviewed with examples of various etiologies. The role of brain scans in diagnosing and following children with this syndrome is emphasized. Cerebral angiography and computer tomography represent complementary examinations in the evaluation of these patients.
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PMID:Acute hemiplegia of childhood. 45 35

Five cases are reported of tuberculous patients who presented with hemiplegia as the initial symptom of their illness. In three patients the paralysis improved rapidly and completely with institution of antituberculous treatment. One case which came to necropsy revealed that the cause of the hemiplegia was a tuberculoma situated in the internal capsule.
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PMID:Tuberculosis presenting with hemiplegia. 45 6

A mentally retarded female infant had abnormalities of the feet, hemiplegia, and an underlying nevus lipomatosus. To our knowledge, this represents the second reported case of marked folding of the skin; with an underlying nevus lipomatosus; this case demonstrated an association of this cutaneous disorder with multiple defects, including chromosomal abnormalities, which have not been previously reported.
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PMID:Folded skin associated with underlying nevus lipomatosus. 46 27


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