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What is the difference between hemiparesis and paraparesis?

Published in Neurological Weakness 3 mins read

Hemiparesis and paraparesis are both terms used to describe muscle weakness, but they affect different parts of the body. Hemiparesis refers to weakness on one side of the body, while paraparesis refers to weakness in both legs.

Understanding Paresis

Paresis, in general, indicates muscle weakness, as opposed to paralysis which is a total loss of muscle function. Both hemiparesis and paraparesis are types of paresis that describe the specific location of the weakness.

Hemiparesis Explained

Definition

According to the provided reference, hemiparesis is "weakness ... of one side of the body." This means that the weakness affects the arm and leg on the same side of the body.

Causes

Hemiparesis is often caused by:

  • Stroke: A stroke affecting one side of the brain can lead to weakness on the opposite side of the body.
  • Brain Injury: Trauma to one side of the brain can cause hemiparesis.
  • Tumors: Brain tumors affecting specific areas can also result in hemiparesis.
  • Other Neurological Conditions: Multiple sclerosis and other neurological conditions may sometimes cause hemiparesis.

Symptoms

  • Difficulty moving limbs on one side of the body
  • Reduced muscle strength in the arm and leg on one side
  • Loss of fine motor skills on the affected side

Paraparesis Explained

Definition

The reference states that paraparesis is "weakness ... of both legs." This indicates weakness in both lower limbs.

Causes

Paraparesis can be triggered by:

  • Spinal Cord Injury: Damage to the spinal cord can cause weakness in the legs.
  • Spinal Cord Diseases: Conditions like myelitis or spinal stenosis can result in paraparesis.
  • Certain Infections: Some infections can affect the spinal cord and cause lower limb weakness.
  • Genetic Disorders: Hereditary conditions may also lead to paraparesis.

Symptoms

  • Difficulty walking or climbing stairs
  • Reduced muscle strength in both legs
  • Trouble maintaining balance

Key Differences Summarized

Feature Hemiparesis Paraparesis
Affected Area One side of the body (arm and leg on the same side) Both legs
Typical Causes Stroke, brain injury, tumors in brain Spinal cord injury, spinal cord diseases

Conclusion

In short, hemiparesis affects one side of the body, while paraparesis affects both legs. The difference lies primarily in the location of the muscle weakness and the underlying causes are generally also distinct, either relating to the brain (hemiparesis) or spinal cord (paraparesis).

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