Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases
A 41-year-old male presented with acute onset weakness of the left hand. Magnetic resonance imaging (MRI) of the brain showed hyperacute infarct in the right middle cerebral artery (MCA)-posterior cerebral artery (PCA) watershed territory. Magnetic resonance angiography (MRA), Doppler ultrasonograph...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Annals of Indian Academy of Neurology |
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| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2010;volume=13;issue=4;spage=302;epage=304;aulast=Hassan |
| _version_ | 1818967371264557056 |
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| author | Hassan Kaukab |
| author_facet | Hassan Kaukab |
| author_sort | Hassan Kaukab |
| collection | DOAJ |
| description | A 41-year-old male presented with acute onset weakness of the left hand. Magnetic resonance imaging (MRI) of the brain showed hyperacute infarct in the right middle cerebral artery (MCA)-posterior cerebral artery (PCA) watershed territory. Magnetic resonance angiography (MRA), Doppler ultrasonography, and digital subtraction angiography revealed severe right internal carotid artery (ICA) stenosis. The patient underwent carotid endarterectomy. The second patient was a 48-year-old male with acute onset right wrist drop. MRI of brain showed acute infarct in the left MCA-PCA watershed territory. MRA of brain and neck, Doppler ultrasonography of the neck vessels, and echocardiography were normal. Both the cases were not initially considered strokes by the referring physicians. Isolated hand palsy is a rare presentation of stroke, often mistaken for peripheral lesion. Fractional limb weakness as a presentation of acute ischemic stroke due to borderzone infarction involving parietal lobe is a rarely reported entity. |
| first_indexed | 2024-12-20T13:47:44Z |
| format | Article |
| id | doaj.art-6935961607714abbbfb3059e344667eb |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-12-20T13:47:44Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-6935961607714abbbfb3059e344667eb2022-12-21T19:38:35ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492010-01-01134302304Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two casesHassan KaukabA 41-year-old male presented with acute onset weakness of the left hand. Magnetic resonance imaging (MRI) of the brain showed hyperacute infarct in the right middle cerebral artery (MCA)-posterior cerebral artery (PCA) watershed territory. Magnetic resonance angiography (MRA), Doppler ultrasonography, and digital subtraction angiography revealed severe right internal carotid artery (ICA) stenosis. The patient underwent carotid endarterectomy. The second patient was a 48-year-old male with acute onset right wrist drop. MRI of brain showed acute infarct in the left MCA-PCA watershed territory. MRA of brain and neck, Doppler ultrasonography of the neck vessels, and echocardiography were normal. Both the cases were not initially considered strokes by the referring physicians. Isolated hand palsy is a rare presentation of stroke, often mistaken for peripheral lesion. Fractional limb weakness as a presentation of acute ischemic stroke due to borderzone infarction involving parietal lobe is a rarely reported entity.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2010;volume=13;issue=4;spage=302;epage=304;aulast=HassanFractional weaknessborderzone cerebral infarctionparietal lobehand control |
| spellingShingle | Hassan Kaukab Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases Annals of Indian Academy of Neurology Fractional weakness borderzone cerebral infarction parietal lobe hand control |
| title | Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases |
| title_full | Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases |
| title_fullStr | Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases |
| title_full_unstemmed | Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases |
| title_short | Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases |
| title_sort | fractional arm weakness as presentation of stroke due to posterior borderzone infarct a report of two cases |
| topic | Fractional weakness borderzone cerebral infarction parietal lobe hand control |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2010;volume=13;issue=4;spage=302;epage=304;aulast=Hassan |
| work_keys_str_mv | AT hassankaukab fractionalarmweaknessaspresentationofstrokeduetoposteriorborderzoneinfarctareportoftwocases |