It is caused by injury to parts of the brain that control movements of the limbs, body, face, etc. This injury may happen before, during or soon after birth up to two years of age approximatelywhen it is known as congenital hemiplegia or unilateral cerebral palsy. If this happens later in life as a result of injury or illness, it is called acquired hemiplegia.
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The treatment and reintegration of adults with brain damage sustained as a result of illness or accident is one of the most important and challenging tasks in the field of rehabilitation. This is not only due to the complexity of the lost functions, but also because stroke is the most frequent cause of severe disability in our society. Brain damage caused by vascular disease is a tremendous problem for any population and civilization.
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Alternating hemiplegia of childhood is a neurological disorder characterized by episodes of hemiplegia, various non-epileptic paroxysmal events and global neurological impairment. Characterization of the evolution and outcome into adulthood has not been sufficiently investigated. The goal of this study was to elucidate the natural history of alternating hemiplegia within a large cohort of patients, as part of the European Network for Research on Alternating Hemiplegia project.
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Hemiplegia refers to weakness or paralysis down one side of the body. The specific definition of hemiparesis means partial weakness, while hemiplegia means complete paralysis. Hemiplegia is caused by damage to the brain.
Hemiparesisor unilateral paresisis weakness of one entire side of the body hemi- means "half". Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiparesis and hemiplegia can be caused by different medical conditions, including congenital causes, trauma, tumors, or stroke.
Any imbalance between these two muscular groups will lead to a vicious attitude of the forearm, penalizing both on functional and esthetic aspects. Their respective responsibility is preoperatively assessed thank to electromyography. Staged lengthenings of the pronator teres are then indicated, eventually associated to desinsertion of the pronator quadratus. Muscular transfers, such as pronator teres or brachioradialis, are also possible.