Home About Shands For Healthcare Professionals Newsroom ShandsConnect Index
Search:


Brain
Brain


Focal neurological deficits

Definition:

A focal neurologic deficit is a problem in nerve function that affects:

  • A specific location -- such as the left face, right face, left arm, right arm, left leg, right leg, even just a small area such as just the tongue
  • A specific function -- for example, speech may be affected, but not the ability to write

The problem occurs in the brain or nervous system. It may result in a loss of movement or sensation. The type, location, and severity of the change can indicate the area of the brain or nervous system that is affected.

In contrast, a non-focal problem is NOT specific -- such as a general loss of consciousness.



Alternative Names:
Neurological deficits - focal

Considerations:

Focal neurologic changes can include any function. Sensation changes include paresthesia (abnormal sensations), numbness, or decreases in sensation. Movement changes include paralysis, weakness, loss of muscle control, increased muscle tone, and loss of muscle tone.

Other types of focal loss of function include:

  • Speech or language difficulties such as aphasia or dysarthria (impaired speech and language skills), poor enunciation, poor understanding of speech, impaired writing, impaired ability to read or to understand writing, inability to name objects (anomia)
  • Vision changes such as reduced vision, decreased visual field, sudden vision loss, double vision (diplopia)
  • Neglect or inattention to the surroundings on one side of the body
  • Loss of coordination, or loss of fine motor control (ability to perform complex movements)
  • Horner's syndrome: one-sided eyelid drooping, lack of sweating on one side of the face, and sinking of one eye into the socket
  • Poor gag reflex, swallowing difficulty, and frequent choking


Common Causes:



Review Date: 2/15/2005
Reviewed By: Luc Jasmin, MD, PhD, Departments of Anatomy & Neurological Surgery, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Illustrated Health Encyclopedia

En Español

Pregnancy Health Center

Shands Careguides

Surgeries and Procedures

Shands HealthCast