Case Report: Good Prognosis of Mixed Alien Hand Syndrome by Verbal-Cue Rehabilitation Exercise.
Case Report: Good Prognosis of Mixed Alien Hand Syndrome by Verbal-Cue Rehabilitation Exercise.
复制标题
病例报告：通过语言提示康复锻炼对混合异手综合症有良好的预后
DOI：
10.3389/fneur.2021.718706
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发表时间：
2021
影响因子：
3.4
通讯作者：
Dong M
中科院分区：
文献类型：
--
作者：
Qu K;Gan L;Jiang W;Yu P;Dong M
混合外星人手综合症是文献报道的一种罕见疾病。异形手综合征的胼胝体-额叶混合型与手部运动不协调有关，患者可能会出现不自主的抓握反射和手部冲突。现有文献中很少有关于混合异手综合症症状恢复前后患者病情对比的视频。我们以视频的形式展示了混合异手综合症的预后。此外，我们还收录了一些关于混合异手综合症症状恢复前后患者状况比较的视频。一名 57 岁女性因额叶和胼胝体梗死而出现左利手冲突和右手不自主抓握反射。她被诊断患有混合型胼胝体-额叶异形手综合征。她的左手抵消了右手有目的的动作。然而，经过3个月的治疗，包括药物治疗和言语暗示康复，手部冲突消失了，她的手部动作恢复了正常的协调性。尽管胼胝体病变较大，但她的预后良好。患者手部动作不协调，影响了她的日常生活，并造成心理问题。尽早开始康复对于她恢复协调性非常重要且必要。言语暗示训练方法可能对患者的康复发挥了重要作用。因此，这种康复方法值得考虑，并且可以在更大的队列研究中采用，因为我们只提出了一个案例。言语暗示练习背后的可能机制需要进一步研究，该患者尽管胼胝体严重损伤，但预后良好，值得进一步研究。
Mixed alien hand syndrome is a rare disease reported in the literature. The mixed callosal–frontal variant of alien hand syndrome is associated with uncoordinated hand movements, and patients may present with an involuntary grasp reflex and intermanual conflict. There are few videos in the existing literature on the comparison of patients' condition before and after recovery of the symptoms of mixed alien hand syndrome. We presented the prognosis of mixed alien hand syndrome in the form of a video. In addition, we have included some videos on the comparison of the condition of patients before and after recovery of the symptoms of mixed alien hand syndrome. A 57-year-old woman presented with left-handed intermanual conflict and right-handed involuntary grasp reflex due to infarction of the frontal lobe and corpus callosum. She was diagnosed with a mixed callosal–frontal variant of alien hand syndrome. Her left hand counteracted the purposeful movements of the right hand. However, the intermanual conflict disappeared after 3 months of therapy, including drug treatment and verbal-cue rehabilitation, and she regained normal coordination of her hand movements. Her prognosis was good despite the large corpus callosum lesions. The uncoordinated hand movements of the patient affected her daily life and caused psychological problems. Initiating rehabilitation early was important and necessary for her to regain coordination. It is possible that the verbal-cue training method played an important role in the recovery of the patient. Therefore, this method of rehabilitation deserves consideration and can be adopted in larger cohort studies as we presented only a single case. The possible mechanisms behind the verbal-cue exercise require further studies, and this patient had a good prognosis despite severe corpus callosum injury, which may merit further investigation.
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影响因子：
2.7
作者：
Gao X;Li B;Chu W;Sun X;Sun C
通讯作者：
Sun C
DOI：
10.7916/d8vx0f48
发表时间：
2014
期刊：
Tremor and other hyperkinetic movements (New York, N.Y.)
影响因子：
--
作者：
Sarva H;Deik A;Severt WL
通讯作者：
Severt WL
影响因子：
6
作者：
Graff-Radford J;Rubin MN;Jones DT;Aksamit AJ;Ahlskog JE;Knopman DS;Petersen RC;Boeve BF;Josephs KA
通讯作者：
Josephs KA
影响因子：
6
作者：
Lewis-Smith, David J.;Wolpe, Noham;Rowe, James B.
通讯作者：
Rowe, James B.
影响因子：
1.2
作者：
Haq, Ihtsham U.;Malaty, Irene A.;Rodriguez, Ramon R.
通讯作者：
Rodriguez, Ramon R.