Doctor insights on:
Spastic Hemiparesis Gait
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
"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
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
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
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
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
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
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
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
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
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.
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
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
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
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?
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
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
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?
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?
21 yr old friend had TB meningitis last year in july and she feels extremely fatigue and mild hemiparesis in her right side. What can be best approach to solve fatigue and hemiparesis? Please suggest
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