Mixed alien hand syndrome coexisting with left-sided extinction secondary to a left corpus callosal lesion: a case report.
Identifieur interne : 001977 ( Ncbi/Checkpoint ); précédent : 001976; suivant : 001978Mixed alien hand syndrome coexisting with left-sided extinction secondary to a left corpus callosal lesion: a case report.
Auteurs : Ji-Ho Lin [Taïwan] ; Shang-Yeong Kwan ; Dean WuSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- Aged, Corpus Callosum (pathology), Corpus Callosum (physiopathology), Frontal Lobe (pathology), Frontal Lobe (physiopathology), Functional Laterality (physiology), Hand (physiopathology), Humans, Magnetic Resonance Imaging, Male, Perceptual Disorders (pathology), Perceptual Disorders (physiopathology), Syndrome, Touch (physiology), Videotape Recording.
- MESH :
- pathology : Corpus Callosum, Frontal Lobe, Perceptual Disorders.
- physiology : Functional Laterality, Touch.
- physiopathology : Corpus Callosum, Frontal Lobe, Hand, Perceptual Disorders.
- Aged, Humans, Magnetic Resonance Imaging, Male, Syndrome, Videotape Recording.
Abstract
Alien hand syndrome (AHS) is actually two distinct syndromes with distinct clinical and anatomic features, that is, a frontal type and a callosal type. Frontal AHS occurs in the dominant hand; is associated with reflexive grasping, groping, and compulsive manipulation of tools. Callosal AHS is characterized primarily by intermanual conflict. We report a case of right frontal AHS and left callosal AHS (mixed AHS) secondary to ischemic stroke of the left corpus callosum (lesion extending from the genu to splenium) and right corpus callosum (minimal lesion in the splenium) in a 67-year-old male patient who also presented with left-sided tactile extinction. To our knowledge, rare reports have documented mixed AHS coexisting with nondominant side extinction secondary only to unilateral (left) callosal lesion, as in our case.
DOI: 10.1002/mds.21241
PubMed: 17133516
Affiliations:
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<author><name sortKey="Lin, Ji Ho" sort="Lin, Ji Ho" uniqKey="Lin J" first="Ji-Ho" last="Lin">Ji-Ho Lin</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Tao-Yuan General Hospital, Department of Health, Taiwan. epilepsy2000@gmail.com</nlm:affiliation>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Department of Neurology, Tao-Yuan General Hospital, Department of Health</wicri:regionArea>
<wicri:noRegion>Department of Health</wicri:noRegion>
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<author><name sortKey="Kwan, Shang Yeong" sort="Kwan, Shang Yeong" uniqKey="Kwan S" first="Shang-Yeong" last="Kwan">Shang-Yeong Kwan</name>
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<author><name sortKey="Wu, Dean" sort="Wu, Dean" uniqKey="Wu D" first="Dean" last="Wu">Dean Wu</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Mixed alien hand syndrome coexisting with left-sided extinction secondary to a left corpus callosal lesion: a case report.</title>
<author><name sortKey="Lin, Ji Ho" sort="Lin, Ji Ho" uniqKey="Lin J" first="Ji-Ho" last="Lin">Ji-Ho Lin</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Tao-Yuan General Hospital, Department of Health, Taiwan. epilepsy2000@gmail.com</nlm:affiliation>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Corpus Callosum (pathology)</term>
<term>Corpus Callosum (physiopathology)</term>
<term>Frontal Lobe (pathology)</term>
<term>Frontal Lobe (physiopathology)</term>
<term>Functional Laterality (physiology)</term>
<term>Hand (physiopathology)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Perceptual Disorders (pathology)</term>
<term>Perceptual Disorders (physiopathology)</term>
<term>Syndrome</term>
<term>Touch (physiology)</term>
<term>Videotape Recording</term>
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<front><div type="abstract" xml:lang="en">Alien hand syndrome (AHS) is actually two distinct syndromes with distinct clinical and anatomic features, that is, a frontal type and a callosal type. Frontal AHS occurs in the dominant hand; is associated with reflexive grasping, groping, and compulsive manipulation of tools. Callosal AHS is characterized primarily by intermanual conflict. We report a case of right frontal AHS and left callosal AHS (mixed AHS) secondary to ischemic stroke of the left corpus callosum (lesion extending from the genu to splenium) and right corpus callosum (minimal lesion in the splenium) in a 67-year-old male patient who also presented with left-sided tactile extinction. To our knowledge, rare reports have documented mixed AHS coexisting with nondominant side extinction secondary only to unilateral (left) callosal lesion, as in our case.</div>
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<affiliations><list><country><li>Taïwan</li>
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<country name="Taïwan"><noRegion><name sortKey="Lin, Ji Ho" sort="Lin, Ji Ho" uniqKey="Lin J" first="Ji-Ho" last="Lin">Ji-Ho Lin</name>
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