Avtor/Urednik		Rener-Primec, Zvonka
Naslov		Akutne pareze - diferencialna diagnoza: klinični pristop k obravnavi bolnika
Prevedeni naslov		Clinical approach to differential diagnosis in a patient with acute paresis
Tip		članek
Vir		In: Neubauer D, editor. Nujna stanja v otroški nevrologiji: 50 let otroške nevrologije na slovenskem. Ljubljana: Medicinska fakulteta, Katedra za pediatrijo,
Leto izdaje		2005
Obseg		str. 12-25
Jezik		slo
Abstrakt		Assessment of a child with acute hemiparesis or hemiplegia requires, besides an oriented anamnesis of circumstances and sequence of rising troubles, precise neurological and clinical examination with oriented laboratory testing. The goal of assessment is timely and appropriate treatment aimed at most favourable outcome and alleviation of neurological deficit. Acute hemiplegia appears within few minutes or hours, while chronic one takes shape during weeks or months. Causes are quite different in both types and include trauma, inflammation, vascular diseases, immunologic events, infections, etc.; several factors are usually involved. Diagnostic steps are directed according to temporary diagnosis based on history and clinical examination; important data are onset, distribution and degree of neurological involvement. CT of the head has to be done urgently based on a suspicion for an acute intracranial process (infarction, haemorrhage, tumour, abscess...). Normal CT finding in the first few hours after the onset of acute symptoms is also important. Differential diagnostic steps are illustrated by case reports.
Deskriptorji		PARESIS HEMIPLEGIA CEREBRAL INFARCTION CHILD DIAGNOSIS, DIFFERENTIAL