Probably Hemiplegia

A 44 male complains about neck pain radiating to shoulder with numbness of the arm, the xray looks normal. Any ideas?

Stroke (also known as Brain Attack) occurs when blood supply to the brain is affected due to either blockage or leakage (or both blockage and leakage) of a blood vessel responsible for supplying or draining blood to and from the brain, thereby, causing brain damage leading to difficulty in movements, sensation, speaking, vision etc. or at times to death. Types of stroke Ischemic Stroke:In India about 70-75% of all strokes are ischemic, in which blood flow to the brain is blocked by blood clots or fatty deposits (also known as plaque) in blood vessel linings. Hemorrhagic Stroke:It occurs when a blood vessel leaks in the brain. Blood accumulates and compresses the surrounding brain tissue. This is also called ‘Brain hemorrhage. Intracerebral hemorrhage: It is the most common type of hemorrhagic stroke. It occurs when an artery in the brain leaks, flooding the surrounding tissue with blood. Subarachnoid hemorrhage: It is bleeding in the area between the brain and its covering consisting of layers of tissue. Transient ischemic attack (TIA) is a "warning stroke" or a "mini-stroke" that results in no lasting damage. Recognizing and treating TIAs immediately can reduce your risk of a major stroke. Symptoms Stroke can affect any movement, senses, speech, behavior, thoughts, memory, and emotions. The body may become paralyzed or weak. The five most common symptoms of stroke are Weakness or Numbness of the face, arm, or leg. Confusion or trouble speaking or understanding others. Difficulty in vision Difficulty in walking or loss of balance or coordination. Severe headache with unknown cause. Causes Presence of following risk factors place people at increased risk for developing stroke. A.Non-modifiable Family history Old age Male sex B.Modifiable High blood pressure Diabetes High cholesterol Heart disease Smoking (as it injures the blood vessels and speeds up the hardening of the arteries) Consuming excessive alcohol (as it increases the blood pressure) Low socioeconomic status Source : NHP

Here is 75 year old female,has developed right sided,n numbness,weakness and tingling sensation,loss of movements in both right hand and and right leg since 10days,difficulty in speech,uncontrol bowel and bladder,after the above symptoms she has developed a swelling in lower abdomen,as shown in photo which is non tender,and firm in consistentency.Her vitals are not normal,Bp is 170/100mmHg.Plz kindly help in dx and treatment aspect.

New case 43 yr ,M ,Presented with upper dorsal pain 1 month,intermittent pain from back radiating to left side of chest at times rt also up to the nipples since 2 weeks ,feeling of weakness with occassional buckling of knees since 5 days,numbness below the nipple since 3 days with difficulty to pass urine in the form of strain to pass urine with intact fullness of bladder and sensation of passing urine. No previous history of any medical illness. On exam vitals stable,BP 140/ 80 mmhg. Intact cranial nerves,upper limbs power gr5/5 with normal DTRS and sensations . Lower limbs ge 4/5 power with mild spasticity with hyperreflexes,absent abdominal reflexes with upgoing plantars. Dulling of sensations all modalities fron D4 down. No spinal tenderness noted. What abnormality in the NRI,diagnosis and management?

38 year male presented with inability to lift both shoulder above head. neck pain present.