Right-sided alien hand in acute parietal infarction: a case report

Abstract Background Alien limb is an involuntary movement that is considered a diagnostic feature of corticobasal degeneration syndrome. Few reports describe this condition in acute stroke, and most of them result from right parietal infarction. Case presentation This is a case of acute stroke prese...

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Main Authors: Nevine El Nahas, Mohamed Maged, Fatma Fathalla Kenawy
Format: Article
Language:English
Published: SpringerOpen 2024-02-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41983-024-00812-0
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author Nevine El Nahas
Mohamed Maged
Fatma Fathalla Kenawy
author_facet Nevine El Nahas
Mohamed Maged
Fatma Fathalla Kenawy
author_sort Nevine El Nahas
collection DOAJ
description Abstract Background Alien limb is an involuntary movement that is considered a diagnostic feature of corticobasal degeneration syndrome. Few reports describe this condition in acute stroke, and most of them result from right parietal infarction. Case presentation This is a case of acute stroke presenting with a right-sided alien limb that was followed by right-sided weakness and aphasia. Effective management of the stroke was achieved through intravenous thrombolysis with the resolution of most symptoms except for a right-side sensory deficit. Magnetic resonance imaging of the brain showed acute parietal infarction involving the left sensory cortex. Conclusions Although very rare, right-sided alien limb can occur due left parietal infarction.
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spelling doaj.art-fc8108c38de0478191f194dcd2b2cacd2024-03-05T18:01:52ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292024-02-016011310.1186/s41983-024-00812-0Right-sided alien hand in acute parietal infarction: a case reportNevine El Nahas0Mohamed Maged1Fatma Fathalla Kenawy2Neurology Department, Faculty of Medicine, Ain Shams UniversityNeurology Department, Faculty of Medicine, Ain Shams UniversityNeurology Department, Faculty of Medicine, Ain Shams UniversityAbstract Background Alien limb is an involuntary movement that is considered a diagnostic feature of corticobasal degeneration syndrome. Few reports describe this condition in acute stroke, and most of them result from right parietal infarction. Case presentation This is a case of acute stroke presenting with a right-sided alien limb that was followed by right-sided weakness and aphasia. Effective management of the stroke was achieved through intravenous thrombolysis with the resolution of most symptoms except for a right-side sensory deficit. Magnetic resonance imaging of the brain showed acute parietal infarction involving the left sensory cortex. Conclusions Although very rare, right-sided alien limb can occur due left parietal infarction.https://doi.org/10.1186/s41983-024-00812-0Alien limb phenomenonParietal lobeStroke
spellingShingle Nevine El Nahas
Mohamed Maged
Fatma Fathalla Kenawy
Right-sided alien hand in acute parietal infarction: a case report
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Alien limb phenomenon
Parietal lobe
Stroke
title Right-sided alien hand in acute parietal infarction: a case report
title_full Right-sided alien hand in acute parietal infarction: a case report
title_fullStr Right-sided alien hand in acute parietal infarction: a case report
title_full_unstemmed Right-sided alien hand in acute parietal infarction: a case report
title_short Right-sided alien hand in acute parietal infarction: a case report
title_sort right sided alien hand in acute parietal infarction a case report
topic Alien limb phenomenon
Parietal lobe
Stroke
url https://doi.org/10.1186/s41983-024-00812-0
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AT mohamedmaged rightsidedalienhandinacuteparietalinfarctionacasereport
AT fatmafathallakenawy rightsidedalienhandinacuteparietalinfarctionacasereport