What are the causes of hemiplegia ? About 80% of all strokes are due to cerebral infarction resulting from thrombotic or embolic occlusion of a cerebral artery (J Neural Neurosurg Psych 1990; 53: 16-22). The remaining 20% are caused by either intracerebral or subarachnoid haemorrhage. Elderly: • Vascular event (thrombosis, embolism or haemorrhage). • Tumour. • Subdural haematoma. • Syphilis. Youth: • Multiple sclerosis. • Tumour. • Trauma. • Embolism (look for underlying valvular heart disease, atrial fibrillation). • Connective tissue disorder. • Neurosyphilis. • lntracranial infection: look for underlying acquired immune deficiency syndrome (AIDS), otitis media, cyanotic heart disease.
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