Gheewala Gaurav, Gadhia Rajan, Surani Salim R, Ratnani Iqbal
Anesthesiology and Critical Care, Houston Methodist Hospital, Houston, USA.
Neurology, Houston Methodist Neurological Institute, Houston, USA.
Cureus. 2019 Oct 3;11(10):e5828. doi: 10.7759/cureus.5828.
Alien hand syndrome (AHS) is defined as an involuntary goal-directed movement of the hand as if acting on its own will, or as being under the control of someone else. Moreover, the affected hand typically does not show any signs of weakness or convulsive movement. The cause of AHS is associated with an insult to the brain from various conditions such as stroke, trauma, tumor, aneurysm, neurosurgical intervention, infection, and degenerative brain diseases. We hereby illustrate a case of a patient with chronic atrial dysrhythmia whose oral anticoagulation therapy was placed on hold by his gastroenterologist for a scheduled colonoscopy. The patient presented to the hospital with symptoms of right-hand paresthesia with uncontrolled movement. These symptoms were seen along ST-segment elevation in the inferior leads on a 12 lead electrocardiogram. The case report acknowledges an unusual presentation of acute ischemic stroke, which may be frightening and bewildering to patients, their families, and any healthcare providers, including neurologists, who may have encountered it for the first time. Also, our patient had posterior AHS, likely from infarction involving the left inferior parietal lobe, which is reported to have a low prevalence.
异己手综合征（AHS）被定义为手部出现不自主的、有目的的运动，就好像是按照自己的意志行动，或者像是受他人控制一样。此外，受影响的手部通常没有任何无力或抽搐运动的迹象。AHS的病因与多种情况导致的脑部损伤有关，如中风、创伤、肿瘤、动脉瘤、神经外科手术干预、感染和退行性脑部疾病。我们在此阐述一例患有慢性心律失常的患者，其口服抗凝治疗被胃肠病学家暂停，以便进行预定的结肠镜检查。该患者因右手感觉异常且运动不受控制的症状入院。这些症状在12导联心电图的下壁导联ST段抬高时出现。该病例报告确认了急性缺血性中风的一种不寻常表现，这可能会让患者、其家人以及包括神经科医生在内的任何首次遇到这种情况的医疗服务提供者感到恐惧和困惑。此外，我们的患者患有后部AHS，可能是由于左顶叶下部梗死所致，据报道这种情况患病率较低。
