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Doctor insights on: Spastic Hemiparesis Gait

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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

Dr. Lawrence Kessler
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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How can I control or mitigate a spastic hemiparesis?

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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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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Is there a difference between cerebral palsy and a spastic hemiparesis?

Is there a difference between cerebral palsy and a spastic hemiparesis?

Categorical: "cp" is a group of chronic motor impairments defined by functional limitations in mobility & hand use from neurological dysfunction, not by underlying cause. Impaired control of movement & posture appears early in life, usually from prenatal brain malformation or injury. Spastic=increased muscle tone with decreased voluntary movement hemi-one-sided paresis-weakness is a form of cp. ...Read more

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What is the difference between cerebral palsy and spastic hemiparesis or diplegia?

What is the difference between cerebral palsy and spastic hemiparesis or diplegia?

Terminology: Spastic diplegia refers to spasticity that primarily affects the legs, and spastic hemiplegia primarily affects one side of the body (arm and leg). Cerebral palsy is a movement disorder caused by damage to an immature brain and can present as either. ...Read more

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Previous eschemic ovoid focus on putamen. 4 hyperintense t2 flairs - 2 deep dwm, 1 subcort wm etc. Previous hemiparesis r arm weakness gait change.

? your question is?: Let's assume you suffered a stroke due to a localized thrombus, and have signs of more widespread ischemia. Thus, you should be using a medication to prevent future strokes, but not on your list. What do your docs feel is cause of your hemiparesis? Is it cardiac, or antiphospholipid antibody, etc? Are these lesions due to arteritis, lupus, multiple sclerosis, sjogren's, lyme disease, etc? ...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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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?

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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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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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 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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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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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

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9 month aftr TB meningitis my fiancee has mild dystonia wch disappears while she sleeps. Why? And it is also getting better in last months and also having mild hemiparesis. Are these sign of recovery

9 month aftr TB meningitis my fiancee has mild dystonia wch disappears while she sleeps. Why? And it is also getting better in last months and also having mild hemiparesis. Are these sign of recovery

Healing: Dystonia and hemiparesis are common while recovering from TB meningitis and can improve totally or have some residual effect depending on the type and location of damage to the brain from the infection. I hope she had a ct scan or MRI to evaluate her brain which can help predict the amount of damage. People usually get worse while healing then slowly improve. ...Read more

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How does Remeron (mirtazapine) cause weight gain? Should I be taking it if I have hemiparesis and will confined to a wheelchair for (at least) several months?

How does Remeron (mirtazapine) cause weight gain? Should I be taking it if I have hemiparesis and will confined to a wheelchair for (at least) several months?

Remeron (mirtazapine) and: All similar drugs have the potential to induce increased food intake and weight gain. Discuss the pros and cons with your doctor. You haven't given us enough information to comment. ...Read more

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Mechanic sir, my 22 yrs old fiancee recovered a lot physically in last 9 months after TB meningitis bt she has mild dystonia and hemiparesis which got better in past months, can I expect her recovery?

Mechanic sir, my 22 yrs old fiancee recovered a lot physically in last 9 months after TB meningitis bt she has mild dystonia and hemiparesis which got better in past months, can I expect her recovery?

Age advantage: At 24, she has a far better chance to continue to achieve some degree of recovery, and typically, spontaneous brain healing will proceed for about 18-24 months after the acute event. Suspect she will always have some degree of dystonia and weakness, but this will be less apparent over next few months. Would use physical and occupational therapies to aid coping. Suspect continued improvement. ...Read more

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Had a left posterior basal ganglia stroke. Was in hospital r sided hemiparesis...Dr's did not explain poststerior ganglia?

Had a left posterior basal ganglia stroke. Was in hospital r sided hemiparesis...Dr's did not explain poststerior ganglia?

Brain relay nuclei: The basal ganglia are a group of nerve relay centers (nuclei) in central part of the upper brain. They work with other areas of the brain in the control of limb and body movements, eye movements, thinking, and emotions. Just behind the lentiform nucleus of the basal ganglia is the posterior part of the "internal capsule." stroke in this area causes a hemiparesis on the opposite side of the body. ...Read more

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Whether mild hemiparesis and mild dystonia due to TB meningitis can be cured? How long it's gonna take, it's been already 9 months for my 22 yr old fiancee and she still can't walk, will she be fine?

Whether mild hemiparesis and mild dystonia due to TB meningitis can be cured? How long it's gonna take, it's been already 9 months for my 22 yr old fiancee and she still can't walk, will she be fine?

Hard to say...: I'm very sorry to hear your fiancee is so ill. It is really difficult to say without knowing the details of her case, records, labs, imaging, etc. But the damage from any meningitis, including TB, can sometimes be permanent, I am sorry to say. ...Read more

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9 month post TB meningitis 22 yrs old girl looks perfect and obeys commands but has mild hemiparesis of right side and mild dystonia in left side which make her walking difficult. Will she improve?

Physical Therapy: It depends on the severity of the injury but with physical therapy, careful follow up with your neurologist, and monitoring for recurrence of infection, it is possible to see improvement.
Her hearing and vision should also be checked. ...Read more

Gait (Definition)

Gait is the way locomotion is achieved using our limbs. Gait is defined as "bipedal, biphasic forward propulsion of center of gravity of human body, in which there is alternate movements of different segments of the body". Different gaits are characterized by differences in limb movement patterns, overall velocity, forces, ...Read more