B C Pack1, K J Stewart, P T Diamond, S D Gale. 1. Physical Medicine & Rehabilitation Department, University of Virginia, School of Medicine, Virginia, USA. bcp2c@virginia.edu
Abstract
PURPOSE: This case highlights the clinical features and course of recovery of a patient presenting to the rehabilitation service with posterior-variant alien hand syndrome (AHS) following thalamic stroke. METHODS: Single case report. RESULTS: Clinical signs and symptoms included mild hemiparesis, dyspraxia, dysmetria, primary sensory loss and hemispatial neglect. Autonomous movements and personification of the affected extremity which were ego-syntonic in nature were characteristic of posterior-variant AHS. The associated neurological impairments resolved early during the course of rehabilitation and the patient made excellent functional gains. CONCLUSION: This case highlights the distinguishing features differentiating posterior-variant AHS from more classical AHS and underscores the excellent prognosis of this variant.
PURPOSE: This case highlights the clinical features and course of recovery of a patient presenting to the rehabilitation service with posterior-variant alien hand syndrome (AHS) following thalamic stroke. METHODS: Single case report. RESULTS: Clinical signs and symptoms included mild hemiparesis, dyspraxia, dysmetria, primary sensory loss and hemispatial neglect. Autonomous movements and personification of the affected extremity which were ego-syntonic in nature were characteristic of posterior-variant AHS. The associated neurological impairments resolved early during the course of rehabilitation and the patient made excellent functional gains. CONCLUSION: This case highlights the distinguishing features differentiating posterior-variant AHS from more classical AHS and underscores the excellent prognosis of this variant.
Authors: Mirella Russo; Claudia Carrarini; Fedele Dono; Vincenzo Di Stefano; Maria Vittoria De Angelis; Marco Onofrj; Stefano L Sensi Journal: Case Rep Neurol Date: 2020-01-15