
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Hemiparesis and Hemiplegia
Introduction
Overview
Overview
Hemiplegia refers to a complete lack of motor function. Hemiparesis refers to decreased motor function. Both are usually a result of a problem with the brain
Causes
In alphabetical order. [1] [2]
- Amyotrophic Lateral Sclerosis
- Brain tumors
- Brown-Sequard Syndrome
- Cerebral abscess
- Cerebral Palsy
- Chronic subdural hematoma
- Complicated Migraine
- Congenital structural anomalies
- Demyelinating syndrome
- Guillain-Barre Syndrome
- Inflammatory conditions
- Intracerebral hemorrhage
- Meningitis
- Multiple Sclerosis
- Periodic paralysis
- Psychogenic or hysterical weakness
- Reversible ischemic neurologic deficits (RINDs) last 24-72 hours
- Syphilis
- Thromoboembolic infarction
- Todd’s Paralysis
- Transient ischemic attacks
- Transverse Myelitis
- Trauma
Overview
Hemiplegia is total paralysis of the arm, leg, and trunk on the opposite side of the body. Hemiplegia is more severe than hemiparesis, wherein one half of the body has less marked weakness.Hemiplegia and Hemiparesis may be congenital, or they might be acquired conditions resulting from an illness, an injury, or a stroke.
The most common cause of hemiplegia is stroke. Other causes of hemiplegia include spinal cord injury, specifically Brown-SΓ©quard syndrome, traumatic brain injury, or disease affecting the brain.
The incidence of hemiplegia is much higher in premature babies than term babies. There is also a high incidence of hemiplegia during pregnancy and experts believe that this may be related to either a traumatic delivery, use of forceps or some event which causes brain injury.
Other causes of hemiplegia in adults include trauma, bleeding, brain infections and cancers. Individuals who have uncontrolled diabetes, hypertension or those who smoke have a higher chance of developing a stroke. Weakness on one side of the face may occur and may be due to a viral infection, stroke or a cancer.[1]
Causes
Common Causes
Causes by Organ System
| Cardiovascular | No underlying causes |
| Chemical/Poisoning | No underlying causes |
| Dental | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | No underlying causes |
| Iatrogenic | No underlying causes |
| Infectious Disease | No underlying causes |
| Musculoskeletal/Orthopedic | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional/Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | No underlying causes |
| Ophthalmologic | No underlying causes |
| Overdose/Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal/Electrolyte | No underlying causes |
| Rheumatology/Immunology/Allergy | No underlying causes |
| Sexual | No underlying causes |
| Trauma | No underlying causes |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |
Causes by Organ System developed by WikiDoc.org, Copyleft 2013
Causes in Alphabetical Order
References
- β “What is hemiplegia?”. Retrieved 18 July 2013. Text ” HemiHelp: for children and young people with hemiplegia (hemiparesis) ” ignored (help)
Editor-In-Chief:
C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Hilda Mahmoudi M.D., M.P.H.[2]
Diagnosis
Diagnosis
History and Symptoms
- Onset
- Past history
- Associated symptoms/findings
- Pattern of weakness
Laboratory Findings
Laboratory Findings
- Complete blood count (CBC)
- Prothrombin time / partial thromboplastin time (PT / PTT)
- Glucose
- Calcium
- Blood urea nitrogen (BUN) / creatinine
Electrolyte and Biomarker Studies
MRI and CT
Other Diagnostic Studies
- Cerebrospinal fluid (CSF) anaylsis is useful for patients suspected of having multiple sclerosis
Treatment
Treatment
- Identifying and treating the underlying cause are the best ways to manage hemiplegia and hemiparesis
- Physical therapy
- Occupational therapy
- Orthotics
- Management of blood pressure and blood sugar (cerebral infarction)
Pharmacotherapy
Pharmacotherapy
Acute Pharmacotherapies
Surgery and Device Based Therapy
Surgery and Device Based Therapy
- Assistive devices for general measures
- Surgical management for mass lesions affecting the brain
References
References
Acknowledgements
Acknowledgements
The content on this page was first contributed by
List of contributors:
Suggested Reading and Key General References
Suggested Reading and Key General References
Suggested Links and Web Resources
Suggested Links and Web Resources
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
