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Home > West Medicine > Internal Medicine > Neurology
G81.900

Hemiplegia

神经内科

Common symptoms

手指歪斜、腹壁反射减弱或消失、痉挛性偏瘫步态、口角歪斜,无法说话、下肢中枢性瘫痪、骶骨裂、下肢拖曳步态、口角下垂、脑干梗塞、要利琴

The pathology of disease

Hemiplegia is paralysis (or weakness, hemiparesis) of one side of the body (arm and leg), most often due to a contralateral cerebral lesion such as ischemic/hemorrhagic stroke, tumor, or trauma. It may be flaccid acutely then spastic. Treatment: identify and treat the underlying cause (stroke pathway), early neurorehabilitation, and secondary stroke prevention (antiplatelet/antihypertensive/lipid control); prognosis depends on cause/extent.

Common Symptoms

Unilateral arm/leg weakness/paralysis; facial weakness; speech disturbance; acute onset suggests stroke

Causes and Pathogenesis

Contralateral corticospinal-tract lesion (stroke/tumor/trauma) produces unilateral hemiparesis/hemiplegia.

Treatment

Treat cause (stroke pathway); early neurorehab; secondary stroke prevention; manage spasticity

Preventive Measures

Control vascular risk; antiplatelet; rehab; fall prevention.

Department to Visit

It is recommended to visit the Neurology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.