24 Şubat 2014 Pazartesi

DIAGNOSIS AND MANAGEMENT OF HEMIPLEGIA

Hemiplegia is paralysis of one half of the body-which includes arm, leg and often
face on the affected side.
 Terms used to describe weakness
 Hemiplegia: Total Paralysis on one side of the body
Hemiparesis: Weakness on one side of the body.

MAIN POINTS: (Hemiplegia)
• Usually acute in onset
• Results from upper motor lesion/ most commonly pyramidal tract lesion
• Associated symptoms and signs aid the diagnosis of level of the lesion
• A detailed history taking is of great value
• Initially -weakness is flaccid; later-spastic
• Diagnostic Features:
o Involvement of one half of the body, hypertonia, hyper-reflexia,
extensor plantar- response and characteristic hemiplegic gait.
• Speedy reach to hospital at the earliest warning signs is a must.
• Treatment of risk factors- ideal for prevention

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