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

Sixteen cases of the anterior choroidal artery syndrome are reported. In its completed form, this rare syndrome combines the triad of hemiplegia, hemianaesthesia, and homonymous hemianopia. CT examination confirms the diagnosis by revealing an area of reduced density situated in the posterior limb of the internal capsule, sparing the thalamus medially and encroaching upon the tip of the globus pallidus laterally, and corresponding to the distribution of the anterior choroidal artery. Incomplete forms of the syndrome are more frequent. Left-sided spatial neglect may accompany right-sided lesions, as may slight disorders of speech in left-sided lesions. Clinical-anatomical correlations are discussed.
Brain 1986 Dec
PMID:Infarction in the territory of the anterior choroidal artery. A clinical and computerized tomographic study of 16 cases. 379 Sep 69

Although aseptic meningitis, lethargy and irritability occur frequently in Kawasaki disease and infantile polyarteritis nodosa, other neurological manifestations are rare. The authors report one case of Kawasaki disease and one of infantile polyarteritis nodosa, both associated with acute hemiplegia. Both patients had received courses of oral corticosteroids for their underlying disease prior to the onset of the hemiplegia. Pathological studies, as well as the four previously reported cases, are reviewed.
Dev Med Child Neurol 1984 Dec
PMID:Acute hemiplegia in Kawasaki disease and infantile polyarteritis nodosa. 615 31

This prospective study was initiated in March 1981 and all results were compared with arteriography. The investigations were carried out with a real time Toshiba SAL 20 equipped with a 5 MHz transducer and a DUD 400 continuous Doppler ultrasonogram with a 4 MHz transducer. All patients were referred to us from the neurological and cardiac departments of our hospital. They had a wide range of conditions varying from simple paraesthesia to massive hemiplegia or from arrhythmias to syncope. The investigation always started with classical Doppler examination (12 recording points) and was followed by real time ultrasonography of the cervical vascular axes. An improved diagnostic performance with the association of Doppler + real time B mode ultrasonography was demonstrated in a previous study. The results of this study were compared with the angiographic appearances and a close correlation was observed with normal and pathological cases. In this series of 50 cases the sensitivity was 92 p. 100 and the specificity 87 p. 100. More detailed analysis of this population showed the two false negatives to correspond to two ulcerated atheromatous plaques at the carotid bifurcation. The false positive results were more difficult to interpret and may have been due to technical artefacts. However, other workers have already encountered this difficulty with surgery demonstrating the plaques detected by ultrasound. In conclusion, real time ultrasonography and Doppler are two complementary investigations which when used by the same operator can become very sensitive and reliable methods of investigation.(ABSTRACT TRUNCATED AT 250 WORDS)
Arch Mal Coeur Vaiss 1983 Dec
PMID:[Ultrasonic study of the carotid artery bifurcation. Comparative study with arteriography (50 cases)]. 642 81

A quadriplegic patient with a C6 lesion had a stroke with aphasia and right hemiplegia 20 years after his cervical cord injury. The combination of hemiplegia and quadriplegia created unusual rehabilitation problems, the most disabling of which was a painful flexion contracture of the right elbow that prevented any useful right arm function. A sequence of phenol nerve blocks produced almost complete resolution of this contracture and was a key factor in his successful return to independent living. Although phenol block is much less commonly performed in the upper than lower extremities, its judicious use in carefully selected cases may be beneficial to the patient's functional outcome.
Arch Phys Med Rehabil 1984 Dec
PMID:Spastic hemiplegia in a quadriplegic patient: treatment with phenol nerve block. 650 20

Eight children with right infantile hemiplegia and eight with left infantile hemiplegia were compared with each other and with 13 sibling controls on a test of manual dexterity, an extended neurological examination and a battery of neuropsychological tests. Right-hemiplegic children performed significantly less well than left-hemiplegic children and the controls on measures of syntactical awareness and the repetition of semantically coherent materials, despite similar verbal IQs. Both hemiplegic groups tended to perform less well than the controls, although not significantly so, on the short-term memory task, repetition of digits, and on a task of confrontation naming. There was also a strong correlation between left-hand impairment and poor arithmetical computation skill in both hemiplegic groups, which conforms with present views as to right-lateralization of certain mathematical functions. The results as a whole support the premise that there is innate hemispheric organization for some language tasks.
Dev Med Child Neurol 1983 Dec
PMID:Evidence for differential hemispheric function in children with hemiplegic cerebral palsy. 665 5

A simple and inexpensive battery-powered device was constructed to alert a patient with left hemiplegia and left-sided neglect when his flaccid upper extremity was in a dependent position. The patient was instructed to retrieve his left extremity with his functional arm and place it on a lapboard. This decreased the mechanical forces placed on the shoulder joint. Concomitantly, his complaint of left shoulder pain decreased while his range of motion (ROM) increased. Because of on-going physical and occupational therapy, his symptomatic relief and increased ROM could not be attributed solely to this device, but it gave him greater control over his own treatment. The use of this device may result in increased awareness of the involved extremity as well as greater carry-over into activities of daily living.
Arch Phys Med Rehabil 1983 Dec
PMID:Auditory feedback device in a patient with left-sided neglect. 666 Oct 25

Fifteen children between the age of 3 and 7 years who had had unilateral seizure followed by a transitory hemiplegia (without fever) were observed. This seizure was the only one in 13 of the children; a second fit appeared in 2 others. The average duration of the observation period was 10 years, 6 months. The evolution of the EEG shows that after a post-ictal delta focus contralateral to the hemiplegia, spike foci of variable localisations were formed in 12 cases. These cases, chosen because of their benign evolution, seem to be related closely to rolandic paroxysmal epilepsy (EPR).
Rev Electroencephalogr Neurophysiol Clin 1981 Dec
PMID:[Unilateral epilepsy with hemiplegia in the child (author's transl)]. 680 2

In collaboration with the College of Engineering the author has developed a laboratory, or clinic, based, battery operated "universal" control system, designed to improve disabled gait in upper motor neuron disabilities, especially stroke, hemiplegia, and cerebral palsy, by applying several channels of FES (Functional Electrical Stimulation) to the lower limb muscles while the patient is walking. The timing of the FES pulses, which can be applied to as many as six of the patient's muscles, is determined by potentiometer controlled one-shot timers, which are triggered by any of three switches in the sole of either shoe. Combinations of inverters, flip flops, AND gates and OR gates in the externally connected logic circuits determine the sequence of delays and pulses applied to the patient's muscles. This paper describes and diagrams some of the logic circuits and as an example of the possible application of the concept of a "universal" control unit reports the modifications of gait induced in a hemiplegic, four year post-stroke, patient. The characteristics of this patient's gait with FES in comparison to its characteristics without FES are demonstrated with motion picture frames, EMG recordings and graphic tracings of her right knee and ankle joint positions. They include more symmetrical timing of her right and left stance and swing phases, increased dorsiflexion of her right ankle in the swing phase, followed by a more distinct heel strike, and improved flexion--extension sequences of the knee and ankle joints and an increased heel rise in the stance phase. The author concludes that the gait characteristics of some hemiplegic patients will improve as they become adapted over a period of weeks or months to a control logic, which lessens their functional limitations by the use of a properly timed and amplified sequence of FES pulses. He suggests that the FES control requirements for individual patients should be determined experimentally with a control system "universally" adaptable to a wide range of disabilities, and that these control parameters could then determine the design of portable units, which may be used on a long term basis. These units would include only the operational options needed to duplicate the gait corrections found to be practicable for each individual patient, by the testing procedure, through a universal logic unit as described in this paper.
Am J Phys Med 1982 Dec
PMID:Development of a universal control unit for functional electrical stimulation (FES). 698 99

Patients with hemiplegia frequently have difficulty in walking due to lack of eversion and dorsiflexion capability of the foot. One method of treating these patients utilizes functional electrical stimulation (FES). The effect of FES on locomotion, co-ordination, proprioception and balance sense was assessed using instrumented gait analysis and a postural sway test. In general patients treated with FES showed either a marked improvement or very little change. Any improvement was reflected in postural sway and ankle control during locomotion. Changes in hip and knee control were insignificant.
Prosthet Orthot Int 1982 Dec
PMID:Biomechanics of functional electrical stimulation. 715 11

Of 27 patients with hypoplastic anemia treated between 1971 and 1974 with male hormone and protein-assimilating hormone, 3 developed superior sagittal sinus thrombosis (SSST). The clinical symptoms and signs and angiographic findings of SST were characteristic enough to allow an early diagnosis. Signs related to SST were seizures, hemiplegia, facial palsy, stupor, and coma, with the most important prodrome and consistent subjective complaint being headache. Following discontinuation of the hormone therapy, neurological signs and symptoms related to SSST gradually subsided. In all cases, the hematological picture improved with discontinuation of the hormone therapies. It appears that administration of male hormone can be associated with the development of SSST. If neurological symptoms and signs of SSST appear, administration of the hormones should be discontinued.
Ann Neurol 1982 Dec
PMID:Superior sagittal sinus thrombosis associated with androgen therapy for hypoplastic anemia. 715 62


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>