Manjaly Zina-Mary, Luft Andreas R, Sarikaya Hakan
Department of Neurology, University Hospital Zurich, Frauenklinikstraße 26, 8091 Zürich, Switzerland.
Case Rep Neurol Med. 2011;2011:474271. doi: 10.1155/2011/474271. Epub 2011 Oct 12.
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.
我们描述了一位患者，她出现右手远端急性轻瘫，提示为周围性正中神经损伤。然而，临床检查无法证实其为周围性病因，这促使进一步检查。弥散加权磁共振成像显示运动皮层手部旋钮区有急性缺血性病变。孤立性手部麻痹合并脑梗死的情况偶尔有报道。然而，先前报道的病例主要表现为尺神经或桡神经麻痹。在本病例报告中，我们呈现了一例罕见的急性脑梗死酷似正中神经麻痹的病例。
