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72 year old Male (UMN hemiparesis (Non-structural (Systemic (Endogenous,…
72 year old Male
UMN hemiparesis
Structural
CNS lesion
Acute
Subacute
Infection
Space Occupying Lesion
Abscess
altered mental status, nausea / vomiting, personality changes, and papilledema, seizures
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Neoplastic lesion
systemic malaise, seizure
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Meningitis
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fever, neck stiffness, and altered mental status
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Encephalitis
commonly due to virus
mental status changes, seizures, sensory deficits, motor deficits, speech disorders.
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Inflammatory
Autoimmune
Guillain-Barre syndrome
depressed deep tendon reflexes, tachycardia, urinary retention, orthostatic hypotension, pain in the back and extremities
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Hyperacute
Trauma
Extra-axial
Epidural hematoma
Lucidity, hyperreflexia. papilledema. nausea and emesis, seizures
Subdural hematoma
contralateral weakness, hyperreflexia, bradycardia, hypertension, irregular respirations
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Abrupt, Maximal deficit at onset
Stroke
Cerebral
Hemorrhagic
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Brainstem
Abnormal breathing, cranial nerve dysfunction,Altered consciousness
Weber syndrome
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Chronic
Degenerative
Parkinson's disease
rest tremor, rigidity, bradykinesia,postural and gait instability.
Non-structural
Systemic
Endogenous
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Metabolic disturbances
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Renal
Uremic encephalopathy
hallucinations, disorientation, myoclonus, asterixis
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progressive, symmetrical muscle weakness
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