Published in:
Open Access
01-12-2024 | Stroke | Case Report
Right-sided alien hand in acute parietal infarction: a case report
Authors:
Nevine El Nahas, Mohamed Maged, Fatma Fathalla Kenawy
Published in:
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
|
Issue 1/2024
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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.