Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 26 , ISSUE 4 ( December, 2015 ) > List of Articles

CASE REPORT

Stroke Presenting as an Isolated Hand Palsy

Y Nandabir Singh, G. Sonachand Sharma, Alex T Touthang, Kh Tamphleima

Citation Information : Nandabir Singh Y, Sharma GS, Touthang AT, Tamphleima K. Stroke Presenting as an Isolated Hand Palsy. Indian J Phy Med Rehab 2015; 26 (4):117-118.

DOI: 10.5005/ijopmr-26-4-117

Published Online: 00-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Isolated hand palsy also known as ‘pseudoperipheral palsy’ is a rare presentation of ischaemic stroke, often mistaken for peripheral nerve lesion. Here, we report a 13 years old young girl presented with sudden onset right hand palsy without any typical features of either upper motor lesion or lower motor lesion. Ischaemic stroke caused by embolic infarct of left precentral gyrus was the possible cause for her. She was managed with physiotherapy interventions including electrical stimulation, strengthening, grip exercise etc. Such an isolated hand palsy resulting from stroke is a rarely reported entity.


PDF Share
  1. Isolated hand palsy due to cortical infarction. Localization of the motor hand area. Neurology 2002;58:1412-4.
  2. Isolated monoparesis following stroke. J Neurol Neurosurg Psychiatry 2005;76:805-7.
  3. Evolving isolated hand palsy: a parietal lobe syndrome associated with carotid artery disease. Brain 1997;120:2251-7.
  4. An unusual clinical presentation of ischemic stroke due to carotid dissection: the wrist drop. Int J Neurol 2009.
  5. Isolated hand palsy due to cortical infarction: localization of motor hand area. Neurologist 2007; 13: 376-9.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.