An Unusual Cause of Pseudomedian Nerve Palsy

We describe a patient who presented with an acute paresis of her distal right hand suggesting a peripheral median nerve lesion. However, on clinical examination a peripheral origin could not be verified, prompting further investigation. Diffusion-weighted magnetic resonance imaging revealed an acute...

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Main Authors: Zina-Mary Manjaly, Andreas R. Luft, Hakan Sarikaya
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2011/474271
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spelling doaj-720a97a07c054950b4ad83040b8a34672020-11-24T20:49:17ZengHindawi LimitedCase Reports in Neurological Medicine2090-66682090-66762011-01-01201110.1155/2011/474271474271An Unusual Cause of Pseudomedian Nerve PalsyZina-Mary Manjaly0Andreas R. Luft1Hakan Sarikaya2Department of Neurology, University Hospital Zurich, Frauenklinikstraße 26, 8091 Zürich, SwitzerlandDepartment of Neurology, University Hospital Zurich, Frauenklinikstraße 26, 8091 Zürich, SwitzerlandDepartment of Neurology, University Hospital Zurich, Frauenklinikstraße 26, 8091 Zürich, SwitzerlandWe describe a patient who presented with an acute paresis of her distal right hand suggesting a peripheral median nerve lesion. However, on clinical examination a peripheral origin could not be verified, prompting further investigation. Diffusion-weighted magnetic resonance imaging revealed an acute ischaemic lesion in the hand knob area of the motor cortex. Isolated hand palsy in association with cerebral infarction has been reported occasionally. However, previously reported cases presented predominantly as ulnar or radial palsy. In this case report, we present a rather rare finding of an acute cerebral infarction mimicking median never palsy.http://dx.doi.org/10.1155/2011/474271
collection DOAJ
language English
format Article
sources DOAJ
author Zina-Mary Manjaly
Andreas R. Luft
Hakan Sarikaya
spellingShingle Zina-Mary Manjaly
Andreas R. Luft
Hakan Sarikaya
An Unusual Cause of Pseudomedian Nerve Palsy
Case Reports in Neurological Medicine
author_facet Zina-Mary Manjaly
Andreas R. Luft
Hakan Sarikaya
author_sort Zina-Mary Manjaly
title An Unusual Cause of Pseudomedian Nerve Palsy
title_short An Unusual Cause of Pseudomedian Nerve Palsy
title_full An Unusual Cause of Pseudomedian Nerve Palsy
title_fullStr An Unusual Cause of Pseudomedian Nerve Palsy
title_full_unstemmed An Unusual Cause of Pseudomedian Nerve Palsy
title_sort unusual cause of pseudomedian nerve palsy
publisher Hindawi Limited
series Case Reports in Neurological Medicine
issn 2090-6668
2090-6676
publishDate 2011-01-01
description We describe a patient who presented with an acute paresis of her distal right hand suggesting a peripheral median nerve lesion. However, on clinical examination a peripheral origin could not be verified, prompting further investigation. Diffusion-weighted magnetic resonance imaging revealed an acute ischaemic lesion in the hand knob area of the motor cortex. Isolated hand palsy in association with cerebral infarction has been reported occasionally. However, previously reported cases presented predominantly as ulnar or radial palsy. In this case report, we present a rather rare finding of an acute cerebral infarction mimicking median never palsy.
url http://dx.doi.org/10.1155/2011/474271
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