S2: Hemiplegia Flashcards

1
Q

Def of Hemiplegia

A
  • 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.
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2
Q

Causes of Hemiplegia

A
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3
Q

Causes of Hemiplegia

  • Most Common Cause
A

Vascular

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4
Q

CP of Hemiplegia

A
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5
Q

CP of Hemiplegia

  • Onset & Course
A
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6
Q

CP of Hemiplegia

  • Symptoms
A

On the hemiplegic Side

  • Paralysis
  • Ms Tone
  • Deep Reflexes
  • Superficial Reflexes
  • Babniski Sign
  • Clonus
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7
Q

CP of Hemiplegia

  • Side
A

These are found on the hemiplegic side

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8
Q

CP of Hemiplegia

  • Paralysis
A
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9
Q

CP of Hemiplegia

  • Ms Tone
A
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10
Q

CP of Hemiplegia

  • Deep Reflexes
A
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11
Q

CP of Hemiplegia

  • Superficial Reflexes
A

The abdominal and cremasteric reflexes are lost.

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12
Q

CP of Hemiplegia

  • Babniski Sign
A

Positive

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13
Q

CP of Hemiplegia

  • Clonus
A
  • May be present in the ankle.
  • Less frequently in the knee and wrist.
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14
Q

Level of the lesion in Hemiplegia

  • Spinal Cord
A
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15
Q

Level of the lesion in Hemiplegia

  • Brain Stem
A
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16
Q

Brainstem Lesion in Hemiplegia

  • Lesion in Midbrain
A

CROSSED HEMIPLEGIA:

  1. Hemiplegia on the opposite side of the lesion.
  2. Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
17
Q

Brainstem Lesion in Hemiplegia

  • Lesion in Medulla
A

CROSSED HEMIPLEGIA:

  1. Hemiplegia on the opposite side of the lesion.
  2. Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
18
Q

Brainstem Lesion in Hemiplegia

  • Lesion in Pons
A

CROSSED HEMIPLEGIA:

  1. Hemiplegia on the opposite side of the lesion.
  2. Cranial nerves paralysis of L.M.N. nature on the same side of the lesion.
19
Q

Lesion in Hemiplegia

  • Cerebral
A
20
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
21
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
22
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
23
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
24
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
25
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
26
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
27
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
28
Q

Compare between Cortical & capsular Lesion causing hemiplegia in terms of:

  • Coma
  • Convulsions
  • Aphasia & Agraphia
  • Paralysis
  • CN
  • UMN
  • Sensory
  • Vision
A
29
Q

Subcortical Hemiplegia

A
30
Q

Managment of Hemiplegia

A
  • General
  • Symptomatic
  • Physio-Therapy
  • Specific
31
Q

General Managment of Hemiplegia

  • ABC
A

As Normal

32
Q

General Managment of Hemiplegia

  • Nutrition & Fluids
A
  • Nasogastric tube feeding giving fruit juices, milk and pureed food.
  • I.V fluids, in comatose patients.
33
Q

General Managment of Hemiplegia

  • Skin
A
  • Frequent change of the patient’s position, and bed sheets.
  • Frequent cleaning of the back skin and pressure points by alcohol.
34
Q

General Managment of Hemiplegia

  • Urine
A
  • Catheterization every 8 hours or Foley’s self-retaining catheter.
  • Urinary antiseptics.
35
Q

General Managment of Hemiplegia

  • Bowel
A

Daily Enema

36
Q

Symptomatic Managment of Hemiplegia

A
37
Q

Managment of Hemiplegia

  • Physio-therapy
A
38
Q

Specific Managment of Hemiplegia

A

TTT of Cause