Diagnostic Tests for Alternating Hemiplegia
Alternating Hemiplegia Tests: Book Excerpts
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Alternating Hemiplegia Diagnosis: Book Excerpts
Diagnostic Tests for Alternating Hemiplegia: Online Medical Books
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HEMIPARESIS/HEMIPLEGIA:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
A neurologist should be consulted at the outset because he can best determine what type of imaging study should be done. A spinal tap is no longer done without first doing an imaging study. Carotid scans can be done to rule out carotid artery insufficiency. Four-vessel cerebral angiography may be indicated, especially in transient ischemic attacks. Magnetic resonance angiography has become an acceptable noninvasive technique for evaluating the cerebral blood flow, especially in the vertebral-basilar arteries. EKG, echocardiography, and blood cultures will help identify an embolic source, but a cardiologist should be consulted to investigate this further. SSEP, BSEP, and VEP studies along with a spinal tap will help diagnose multiple sclerosis.
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Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
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