S2: Hemiplegia Flashcards
Def of Hemiplegia
- Paralysis of one side of the body due to pyramidal tract lesion at any point from its origin in the cerebral cortex down to the fifth cervical segment of the spinal cord.
Causes of Hemiplegia
Causes of Hemiplegia
- Most Common Cause
Vascular
CP of Hemiplegia
CP of Hemiplegia
- Onset & Course
CP of Hemiplegia
- Symptoms
On the hemiplegic Side
- Paralysis
- Ms Tone
- Deep Reflexes
- Superficial Reflexes
- Babniski Sign
- Clonus
CP of Hemiplegia
- Side
These are found on the hemiplegic side
CP of Hemiplegia
- Paralysis
CP of Hemiplegia
- Ms Tone
CP of Hemiplegia
- Deep Reflexes
CP of Hemiplegia
- Superficial Reflexes
The abdominal and cremasteric reflexes are lost.
CP of Hemiplegia
- Babniski Sign
Positive
CP of Hemiplegia
- Clonus
- May be present in the ankle.
- Less frequently in the knee and wrist.
Level of the lesion in Hemiplegia
- Spinal Cord
Level of the lesion in Hemiplegia
- Brain Stem
Brainstem Lesion in Hemiplegia
- Lesion in Midbrain
CROSSED HEMIPLEGIA:
- Hemiplegia on the opposite side of the lesion.
- Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
Brainstem Lesion in Hemiplegia
- Lesion in Medulla
CROSSED HEMIPLEGIA:
- Hemiplegia on the opposite side of the lesion.
- Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
Brainstem Lesion in Hemiplegia
- Lesion in Pons
CROSSED HEMIPLEGIA:
- Hemiplegia on the opposite side of the lesion.
- Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
Lesion in Hemiplegia
- Cerebral
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Compare between Cortical & capsular Lesion causing hemiplegia in terms of:
- Coma
- Convulsions
- Aphasia & Agraphia
- Paralysis
- CN
- UMN
- Sensory
- Vision
Subcortical Hemiplegia
Managment of Hemiplegia
- General
- Symptomatic
- Physio-Therapy
- Specific
General Managment of Hemiplegia
- ABC
As Normal
General Managment of Hemiplegia
- Nutrition & Fluids
- Nasogastric tube feeding giving fruit juices, milk and pureed food.
- I.V fluids, in comatose patients.
General Managment of Hemiplegia
- Skin
- Frequent change of the patient’s position, and bed sheets.
- Frequent cleaning of the back skin and pressure points by alcohol.
General Managment of Hemiplegia
- Urine
- Catheterization every 8 hours or Foley’s self-retaining catheter.
- Urinary antiseptics.
General Managment of Hemiplegia
- Bowel
Daily Enema
Symptomatic Managment of Hemiplegia
Managment of Hemiplegia
- Physio-therapy
Specific Managment of Hemiplegia
TTT of Cause
