Focal neurologic signs Focal neurologic signs also known as focal neurological deficits or focal CNS signs are impairments of nerve , spinal cord , or brain function that affects a specific region of the body, e.g. weakness in the left arm , the right leg, paresis , or plegia . Focal neurological deficits may be caused by a variety of medical conditions such as head trauma , tumors or stroke ; or by various diseases such as meningitis or encephalitis or as a side effect of certain medications such as those used in anesthesia .Neurological soft signs , are a group of non-focal neurologic signs.signs usually involve the motor system and may include many special types of deficit, depending on which part of the frontal lobe is affected: unsteady gait muscular rigidity, resistance to passive movements of the limbs paralysis of a limb or a larger area on one side of the body paralysis head and eye movements inability to express oneself linguistically, described as an expressive aphasia focal seizures that may spread to adjacent areas grand mal or tonic-clonic seizures changes in personality such as disinhibition, inappropriate jocularity, rage without provocation; or loss of initiative and concern, apathy , akinetic mutism , general retardation "frontal release" signs, i.e. reappearance of primitive reflexes such as the snout reflex , the grasp reflex, and the palmar-mental reflex unilateral loss of smell Parietal lobe signs signs usually involve somatic sensation , and may include: impairment of tactile sensation impairment of proprioception , i.e. postural sensation and sensation of passive movement sensory and visual neglect syndromes , i.e. inability to pay attention to things in certain parts of the person's sensory or spatial environment; this may be as extreme as denial of a limb loss of ability to read, write, or calculate loss of ability to find a defined place loss of ability to identify objects based on touchTemporal lobe signs signs usually involve auditory sensation and memory, and may include: signs usually involve visual sensation, and may include: total loss of vision loss of vision with denial of the loss loss of vision on one side of the visual field of both eyes visual agnosias, i.e. inability to recognize familiar objects, colors, or faces visual illusions such as micropsia and macropsia visual hallucinations, displaying elementary forms, such as zig-zags and flashes, in one half of the visual field only for each eyeLimbic signs Damage to the limbic system involves loss or damage to memory, and may include: loss or confusion of long-term memory prior to focal neuropathy inability to form new memories loss of, or reduced emotions loss of olfactory functions loss of decision making abilityCerebellar signs signs usually involve balance and coordination, and may include: cerebellar ataxia a gait with a broad base; the patient falters to the side of the lesion inability to coordinate fine motor activities, e.g. "past-pointing" inability to perform rapid alternating movements, e.g. inability to rapidly flip the hands involuntary horizontal eye movements dysarthria , usually with bilateral lesions; the speech has a halting jerking qualityBrainstem signs signs can involve a host of specific sensory and motor abnormalities, depending on which fiber tracts and cranial nerve nuclei are affected.signs generally involve unilateral paralysis with contralateral loss of pain sensation .Neurological soft signs Neurological soft signs are a group of minor non-focal neurological signs that include synkinesis . Other soft signs including clumsiness, and loss of fine motor movement are also commonly found in schizophrenia . NSS likely reflect impairments in sensory integration, motor coordination , and the carrying out of complex motor tasks. When associated with schizophrenia the signs stop if clinical symptoms are effectively treated; and a consensus suggests that they may constitute a state marker for schizophrenia.
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