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Hemiplegia

Hemiplegia

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Published by sarguss14

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Published by: sarguss14 on Nov 23, 2008
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01/05/2013

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Neurological symptoms
 
 
HEMIPLEGIA
RIGHT HEMIPLEGIA
Cortical
Test for Aphasia (think of cortical lesions;also know province and background)Name objects (eg. Pen,tie,etc.); repeat (no.if’s, and’s or but’s); read and checkcomprehension; listen to spontaneous speechfor errorsCheck cortical sensory lossPosition sense, point localization,graphesthesia (write number on palm);stereognosis (coin, pen comb)
 
 
Are face and arm more involved than leg? (Middlecerebral AA territory) or Is leg more involved? (Anteriocerebral artery)Is there eye deviation?Eyes deviate to hemisphere involved and away fromthe hemiparesis in cortical lesionsCheck field defectNB: field defect suggests subcortical deficit exceptwhen occipital lobe is involved in which case the fielddefect is due to a lesion in the cortex.“Cortical” type eye deviation maybe found insubcortical lesionsHemiparesis and seizure suggest cortical lesionDetermine if lesion is of same distribution as theweaknessNormal primary sense but impaired higher sense likestereognosis

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