General Medicine, Western Isles Hospital, NHS Western Isles, UK.
Occupational Therapy, Western Isles Hospital, NHS Western Isles, UK.
Age Ageing. 2021 Jan 8;50(1):263-264. doi: 10.1093/ageing/afaa129.
Anarchic hand is a rare condition where the complex movements of one hand appear to be goal directed and smoothly executed and yet are unintended and unwanted. Unlike alien hand syndrome, the patients recognise that the affected hand is part of their own body. They know the hand is theirs, but they deny having control over its actions. The syndrome has been reported after surgery on the corpus callosum and with brain tumours, aneurysms, degenerative diseases of the brain and uncommonly with stroke. We present a case of a 74-year-old man who developed an anarchic right hand following thrombolysis for a posterior cerebral artery territory ischemic stroke.
无意识运动手是一种罕见的病症，患者的一只手会出现复杂的运动，这些运动看似有目的且流畅，但却是无意识的和不受控制的。与异物手综合征不同，患者能够意识到受影响的手是他们自己身体的一部分。他们知道这只手是他们自己的，但他们否认能够控制它的动作。这种综合征已经在胼胝体手术后和脑肿瘤、动脉瘤、大脑退行性疾病以及不常见的中风中被报道过。我们报告了一例 74 岁男性患者，在因大脑后动脉区域缺血性中风进行溶栓治疗后出现了无意识的右手运动。
