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Doctor insights on: Hemiparesis Differential Diagnosis

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How can I control spastic hemiparesis?

How can I control spastic hemiparesis?

PT/Baclofen or botox: To help with spasticity, things like Baclofen pumps and Botox injections into the muscle have shown to reduce the stiffness and increase function. Most of the time, a physiatrist (physical medicine and rehab physician) does these procedures. Other interventions include pt, occupational therapy, speech and behavior therapy. ...Read more

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Dr. Austina Cho
33 Doctors shared insights

Hemiparesis (Definition)

"Hemi" refers to half. "Paresis" means weakness. Hemiparesis refers to a weakness over one side (half) of body. The most common cause is from a cerebral infarction (stroke) on one side of the brain. It usually affects the opposite side of the body relative to the side of stroke, although if the face is involved, that tends to be on the same side as the brain ...Read more


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What is spastic hemiparesis in children?

What is spastic hemiparesis in children?

One side affected: This generally refers to a disorder of strength and mobility involving one side of the body. The limbs are stiff and movement is difficult but possible. Hemiplegia would mean the side is essentially paralyzed. It is often the result of pre-natal brain injury/stroke and more often found in premature infants. ...Read more

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Can a pinched nerve cause a hemiparesis?

Can a pinched nerve cause a hemiparesis?

No: A single pinched nerve may cause weakness in the distribution of that nerve only. Hemiparesis=weakness on half the body should be caused by something larger like a stroke or compression of the spinal cord/disease of the spinal cord. ...Read more

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Can hemiparesis causes be determined by doctors?

Can hemiparesis causes be determined by doctors?

Absolutely: Start with your family md and then a neurologist for a full neurological workup and treatment. ...Read more

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What does it mean to have a mild right hemiparesis?

Weakness: This means that the muscles on the right side of hte body are mildly weak. It is typically called hemiparesis (half-weak) when the cause is a problem in the brain or spinal cord, such as a stroke, tumor or traumatic injury. ...Read more

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How can I control or mitigate a spastic hemiparesis?

Medication/botox: You want to maintain some degree of spasticity in your leg to assist walking. The use of oral medication may help, but will affect arm and leg-plus there may be sedation. Botox can be very helpful, different doses for arm/leg, customizing the effect. It can address specific trouble areas oral medications can't address. Would find a neurologist/ rehab doctor who does this under EMG for best result. ...Read more

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What is the psychological effect of having hemiparesis?

What is the psychological effect of having hemiparesis?

Hemiparesis: The psychological effects of hemiparesis vary with the person and extent of symptoms. Many people struggle with frustration about not being able to use a whole side of their body, loss of independence -- and depression about capacity to take care of themselves, or roles they can no longer carry out. For instance, if they can no longer work/earn money they may feel there's no reason to be alive. ...Read more

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In what way can I control or lessen a spastic hemiparesis?

Suggestions: Could try anti-spasticity drugs, such as baclofen, dantrolene, or tizanidine, and even BOTOX. Baclofen pump of value in some cases. However, physical therapy by experienced clinic may be highly miraculous. ...Read more

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Can you tell me how I could control or lessen a spastic hemiparesis?

Approaches: Physical and occupational therapy, exercises, BOTOX, anti spasticity drugs such as tizanidine, baclofen, even diazepam. Maybe if all else fails, use of baclofen pump. ...Read more

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How do I know if I have hemiparesis?

One side weakness: If you have one sided weakness, decreased strength, decreased sensation, gait problems, trouble swallowing, then you should be examined. See your doctor for a proper assessment. ...Read more

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How to care for someone with hemiparesis?

Learn from therapist: Someone with hemiparesis will have many needs and may need someone available around the clock. The best way is to have a home therapy evaluation and work with the therapist and home health personnel on what the patient's individual needs will be. ...Read more

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What is the definition or description of: Hemiparesis?

Half body weakness: "Hemi" refers to half. "Paresis" means weakness. Hemiparesis refers to a weakness over one side (half) of body. The most common cause is from a cerebral infarction (stroke) on one side of the brain. It usually affects the opposite side of the body relative to the side of stroke, although if the face is involved, that tends to be on the same side as the brain injury, (opposite) to body. ...Read more

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How can somebody with left hemiparesis (due to a stroke) drive? What can they use?

How can somebody with left hemiparesis (due to a stroke) drive? What can they use?

Rehab Consult: You need to consult with a rehabilitation medicine specialist for a detailed evaluation of the extent of your deficits and a proper determination of your potential to safely resume driving. Good luck. ...Read more

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Is there surgery for patient with cerebal palsy with hemiparesis?

Is there surgery for patient with cerebal palsy with hemiparesis?

No.: But that doesn't mean some new form of therapy is on the horizon. Neurosciences is definitely one of the most exciting fields today; it will lead to more close understanding of how our brains get as screwed up as they are, and then hopefully how to screw them on straight. Hurrah to my daughter, arielle, who is to become chief resident of neurology at nyu. ...Read more

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Is there a difference between hemiplegia / hemiparetic / hemiparesis?

Degree of weakness: Hemiparesis is the term used to describe unilateral weakness. The range of power is anything less than full, to just being able to move a limb when gravity is removed. Hemiplegia describes a limb (s) that have no movement. The spectrum of power goes from full->hemiparesis->hemiplegia. The tone of a hemiparetic can be either flaccid or spastic depending on the cause. ...Read more

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Am 8 months post-stroke (ICH). What can botox injections do for my right side hemiparesis? How does it work in cases like this? Thank you.

Am 8 months post-stroke (ICH). What can botox injections do for my right side hemiparesis? How does it work in cases like this? Thank you.

Reduce spasticity: Botox can reduce the spasticity of certain muscle groups or reduce the activity of antagonistic muscles. In the case of facial paresis it can improve symmetry by decreasing activity of contra lateral facial muscles ...Read more

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In right hemiparesis, does it cause lot of pain in recovery, especially after some motion is regained?

Yes: It would be nice to know if you have mentioned what caused your right hemiparesis. Was it due to stroke? Other neurologic causes? Because there is such a thing as central post stroke pain syndrome. And this could be a cause of your pain. ...Read more

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Does perispinal etanercept injection really do wonders in stroke patients for hemiparesis etc?? I see some reseaech on government portals with evidence of good results within minutes? Are they fake??

Does perispinal etanercept injection really do wonders in stroke patients for hemiparesis etc?? I see some reseaech on government portals with evidence of good results within minutes? Are they fake??

Buyer beware: You are probably referring to the treatments offered by Dr. Edward Tobinick. From a standard medical point of view this is quite controversial with only case-reports available. I'm up for an open mind but be careful before falling for any "miracle" cures. Best of luck. ...Read more

Differential Diagnosis (Definition)

Is a process of elimination, to look at several possibilities for diagnosing a probable illness, through process of elimination, to narrow those probabilities, so as a ...Read more