Isolated weakness of the fingers in cortical infarction
Isolated weakness of the fingers in cortical infarction
复制标题
皮质梗塞时手指孤立性无力
作者：
P. Lee;S. Han;J. Heo
手部皮层传出区的组织尚未完全确定。此外，孤立的手指无力与脑梗死相关是罕见的。1例脑梗死患者表现为拇指屈曲无力我们描述了一个病人，他表现出孤立的手指无力，主要是拇指内收，并在MRI上表现出离散的皮层梗死。
The organization of the cortical efferent area of the hand has not been fully defined. Moreover, isolated finger weakness in association with cerebral infarction is rare. One patient with a cerebral infarction who showed a predominant thumb flexion weakness was reported.1 We describe a patient who showed isolated weakness of the fingers, predominantly thumb adduction, and who showed a discrete cortical infarction on MRI.
Case report. A 67-year-old right-handed diabetic woman was admitted because of abrupt onset of weakness in the fingers of her left hand. Earlier on the day of admission, she suddenly noticed that she was unable to pick up bathroom tissue. Her history included a coronary artery bypass graft 2 years before and a left hemiparesis 6 months previously that improved over a 2-week period. On admission, her blood pressure was 120/70 mm Hg and physical examination showed no significant abnormalities. While performing forearm rolling and hopping …