We present two cases of isolated hand weakness that were initially thought to be due to lower motor neurone lesions until subsequent MRI confirmed strokes in both. Small strokes are important to identify in order to optimise secondary prevention.
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http://dx.doi.org/10.1093/ageing/afp025 | DOI Listing |
Cureus
February 2024
Graduate School of Health Science, Fukui Health Science University, Fukui, JPN.
There are various causes of unilateral finger palsy. Its potential etiologies include peripheral neuropathy, carpal tunnel syndrome, and nerve root disorder due to myelopathy. In addition to them, similar paralysis has been reported in localized lesions of the cerebrum, classically referred to as pseudoperipheral palsy.
View Article and Find Full Text PDFCureus
October 2022
Department of Cardiorespiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Traumatic nerve damage or compression neuropathy is the most common cause of unilateral weakness in an upper extremity. Rarely, a central nervous system lesion may cause syndromes that initially appear to indicate peripheral nerve injury. The most well known of these is pseudoperipheral hand palsy, which is typically brought on by a minor brain lesion in the contralateral motor cortex.
View Article and Find Full Text PDFAnn Indian Acad Neurol
December 2020
Department of Radiodiagnosis and Imaging, Yenepoya Medical College, Yenepoya (Deemed to Be) University, Mangalore, Karnataka, India.
Strategic cortical lesions involving the hand motor cortex (HMC) presenting acutely as distal upper limb pure motor weakness certainly do need to be differentiated on clinical grounds from "pseudoperipheral palsy." This rare phenotype can imitate peripheral motor nerve deficits and should not be easily overlooked. The isolated "central hand and finger weakness" presenting as an acute onset of varying combinations such as pseudomedian, pseudoradial, and/or pseudoulnar nerve palsy is intriguing to the novice.
View Article and Find Full Text PDFBMC Cancer
October 2018
Department of Neurology, Semmelweis University, Balassa u. 6., H- 1083, Budapest, Hungary.
J Stroke Cerebrovasc Dis
July 2018
Department of Neurology, Semmelweis University, Budapest, Hungary.
Background: Although uncommon, cortical hand knob territory stroke is a well-defined stroke entity that mimics peripheral nerve damage. Atherosclerosis and hypertension are the most prevalent risk factors for the disease. Embolic origin, either artery-to-artery or cardioembolic, has been suggested as the most probable underlying mechanism.
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