Russo Mirella, Carrarini Claudia, Dono Fedele, Di Stefano Vincenzo, De Angelis Maria Vittoria, Onofrj Marco, Sensi Stefano L
Department of Neuroscience, Imaging, and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.
Behavioral Neurology and Molecular Neurology Units, Center of Excellence on Aging and Translational Medicine - CeSI-MeT, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.
Case Rep Neurol. 2020 Jan 15;12(1):35-39. doi: 10.1159/000503857. eCollection 2020 Jan-Apr.
We present a case of sudden postischaemic onset of alien limb syndrome, with unintentional self-injury. Alien limb syndrome is an uncommon neurological disorder featured by uncontrolled and involuntary movements of a limb. Three variants of alien limb syndrome have been described: the anterior, featured by grasping of surrounding objects, the callosal, presenting with intermanual conflict, and the posterior, associated with involuntary levitation of the limb. Our patient suffered from an acute presentation of the posterior variant of the alien limb syndrome, resulting from an isolated thalamic stroke which was documented using 24-h computed tomography brain scan. Only one previous case of alien limb syndrome after thalamic infarct has been reported. Our case enhances the possibility that pure thalamic injury may represent a trigger for this condition.
我们报告一例缺血后突然发作的异己肢综合征病例，伴有意外伤害自己的情况。异己肢综合征是一种罕见的神经系统疾病，其特征为肢体不受控制的不自主运动。异己肢综合征已被描述为三种类型：前型，以抓取周围物体为特征；胼胝体型，表现为双手冲突；后型，与肢体的不自主悬浮有关。我们的患者急性发作异己肢综合征后型，病因是孤立的丘脑中风，通过24小时脑部计算机断层扫描得以证实。此前仅报道过一例丘脑梗死后继发异己肢综合征的病例。我们的病例增加了纯丘脑损伤可能是引发这种疾病的诱因的可能性。
