ABSTRACT
The presentation of acute-onset hemiparesis in a teenager can be challenging and offers a wide differential diagnosis. We discuss the approach to the patient (which should begin with thorough history taking and physical examination) and advanced imaging as directed by the patient's signs and symptoms. We report the case of an otherwise well 17-year-old girl who presented to the pediatric emergency department with a 2-day history of left-sided weakness and difficulty ambulating. Her eventual diagnosis of Balo concentric sclerosis, a rare form of multiple sclerosis, is discussed.
Subject(s)
Diffuse Cerebral Sclerosis of Schilder/complications , Diffuse Cerebral Sclerosis of Schilder/diagnosis , Paresis/diagnosis , Paresis/etiology , Acute Disease , Adolescent , Diagnosis, Differential , Diffuse Cerebral Sclerosis of Schilder/rehabilitation , Female , Humans , Paresis/rehabilitationABSTRACT
Geriatric rehabilitation is described according to the theory of Steinmann and is divided into three categories. Firstly, into the actual preventive rehabilitation of the outpatient with the aim of slowing down, possibly even stabilizing or retarding partly normal, partly pathological changes occurring as a function of the aging process. The old person who is not confined to an institution should thus be given an opportunity to lead an active life inspite of certain age related infirmities. Secondly, the general rehabilitation of the sick, comprising the treatment of age illnesses by means of medication and what could be described as "activating care or therapy". Thirdly, the specific rehabilitation which deals with these old age diseases through sophisticated and expensive team in a highly specialized clinic. The approach of the therapeutic team of a geriatric clinic ist described on the basis of the example of the treatment of hemiplegic patients.
