Department of Neurology, Lahey Clinic Medical Center, Burlington, MA, USA.
Epileptic Disord. 2011 Sep;13(3):295-9. doi: 10.1684/epd.2011.0450.
This case study with video recording describes a brief neurological examination of a rare post-surgical finding in a patient with intractable seizures who had a right parietal topectomy in order to cure focal and disabling epilepsy. Contemporaneously during the resection and while awake intraoperatively, the patient developed features characterised by involuntary, purposeless, and almost ballistic movements of the contralateral left upper extremity. These involved the shoulder and, more distally, the arm with less involvement of the hand itself and some clonic movement at the elbow, persisting for approximately 24 hours after surgery. Although identified in only one case in our series, we have named the resulting clinical phenomenology "parietal hand syndrome". A Medline search does not reveal any other such case in the English literature with the clinical elements and actual video documentation of neurological examination noted in our case report in the immediate post-operative setting. In this regard, this is a unique clinical report. [Published with video sequences].
本病例研究配有录像，描述了一位难治性癫痫患者的简短神经检查，该患者因局灶性和致残性癫痫而行右侧顶叶切除术。在切除过程中，患者同时在清醒状态下出现了一种特征性表现，即对侧左上肢体出现不自主、无目的、几乎呈弹道样的运动。这些运动涉及肩部，更远处是手臂，手部本身的参与较少，肘部有一些阵挛运动，大约在手术后 24 小时持续存在。尽管在我们的系列中仅发现了一例，但我们将其命名为“顶叶手综合征”。尽管进行了 Medline 检索，但在英语文献中未发现任何其他具有我们病例报告中所述的临床特征和实际神经检查录像的病例。在这方面，这是一个独特的临床报告。[附有录像序列]。
