Wan Yusoff Wan R, Hanafi Muhammad H, Ibrahim Al Hafiz, Kassim Nur K, Suhaimi Anwar
Department of Rehabilitation Medicine, Penang General Hospital, Penang, Malaysia.
Rehabilitation Medicine Unit, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
J Taibah Univ Med Sci. 2021 Jan 5;16(2):288-291. doi: 10.1016/j.jtumed.2020.12.003. eCollection 2021 Apr.
Alien hand syndrome (AHS) is a rare post-stroke complication. Although the occurrence of AHS after stroke is rare, it can have a disabling impact on the lifestyle and career of the patients post stroke. It is difficult to distinguish AHS from the non-dominant hemispheric infarction with symptoms of hemianopia and left hemineglect, as patients with AHS can also have neglect as well as behaviour symptoms if the frontal lobe is involved. We report the case of a 62-year-old gentleman who was admitted to the rehabilitation ward and was treated for neglect and apraxia following right middle cerebral artery stroke. After further re-evaluation, the patient was diagnosed with AHS. Functionally, he improved and the symptoms disappeared four months after the stroke. In this case report, we highlight the features of AHS and provide a unique management approach.
异己手综合征（AHS）是一种罕见的中风后并发症。虽然中风后AHS的发生率很低，但它会对中风后患者的生活方式和职业产生致残性影响。由于AHS患者如果额叶受累也可能出现忽视及行为症状，因此很难将AHS与伴有偏盲和左侧半侧空间忽视症状的非优势半球梗死区分开来。我们报告一例62岁男性患者，他因右侧大脑中动脉中风后出现忽视和失用症而入住康复病房接受治疗。经过进一步重新评估，该患者被诊断为AHS。在功能方面，他在中风四个月后症状改善且消失。在本病例报告中，我们突出了AHS的特征并提供了一种独特的管理方法。
