Hemiplegia

Introduction Hemiplegia, also called hemiplegia, refers to the movement disorder of the upper and lower limbs, the facial muscles and the lower part of the tongue. It is a common symptom of acute cerebrovascular disease. Although mild hemiplegia patients can still move, but when they walk, they tend to flex their upper limbs, straighten their lower limbs, and take a half circle in the lower limbs. This special walking posture is called hemiplegic gait. Severe cases are often bedridden and lose their ability to live. According to the degree of hemiplegia, it can be divided into sputum, incomplete sputum and sputum.

Cause

The causes of hemiplegia are diverse and complex. In general, they are inseparable from diseases such as increased blood lipids and increased blood viscosity. The following are summarized:

1. Atherosclerosis is the main cause of stroke. 70% of stroke patients have arteriosclerosis, and hyperlipidemia is one of the main causes of arteriosclerosis.

2, hypertension is the most common and most common cause of stroke, 93% of patients with cerebral hemorrhage have a history of hypertension.

3, congenital abnormalities of cerebrovascular is a common cause of subarachnoid hemorrhage and cerebral hemorrhage.

4, heart disease, such as: endocarditis, there may be a wall thrombus, bradycardia may cause insufficient blood supply to the brain.

5, diabetes is the most closely related to stroke in stroke, 30-40% of stroke patients with diabetes.

an examination

Related inspection

Brain MRI examination Brain CT examination Cerebral angiography Random motion examination Brain Doppler ultrasound (TCD)

The examination mainly includes imaging examination and rehabilitation assessment:

1. Imaging examination

(1) cerebral angiography.

(2) CT.

(3) MRI.

2. Rehabilitation assessment

Muscle strength, muscle tone, balance function, daily living ability assessment, Brine's staging, psychological function assessment, etc.

Differential diagnosis

Identification of cortical and subcortical hemiplegia

1 disturbance of consciousness disorder: manifested as sudden occurrence of disturbance of consciousness, accompanied by hemiplegia, often with head and eye side deflection.

2 flaccid hemiplegia: manifested as one side of the upper and lower extremity dyskinesia with obvious low muscle tone, voluntary muscle paralysis apparently involuntary muscles can not appear paralysis, such as gastrointestinal exercise, bladder muscle, etc., no obstacles.

3 spasticity hemiplegia: generally caused by flaccid hemiplegia, characterized by marked increase in muscle tone. The extensor muscles of the upper limbs and the flexor muscles of the lower limbs are obvious, and the muscle tension is significantly increased. Therefore, the upper limbs are flexed, the lower limbs are straight, the fingers are flexed, and the passive straight fingers have a stiff resistance.

4 hemiparesis: in the case of extremely mild hemiplegia, such as the early stage of progressive hemiplegia, or the interval of seizures of transient seizures, the sputum is mild, and it is easy to miss if not carefully examined.

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