Albandak Maram, Ayyad Mohammed, Abu Ajamia Samah, M N Habes Yousef, Abdelalnbi Amjad
Internal Medicine, Al-Quds University, Jerusalem, PSE.
Internal Medicin, Al-Quds University, Jerusalem, PSE.
Cureus. 2023 Apr 10;15(4):e37404. doi: 10.7759/cureus.37404. eCollection 2023 Apr.
Stroke is a major public health concern and a leading cause of morbidity and mortality worldwide. It often presents with a wide range of neurological deficits based on the neuroanatomical locus of the insult. Symptoms widely vary and usually occur in concordance with the distribution of the homunculus. Although rare, stroke can present with isolated wrist drop, which creates a diagnostic dilemma owing to the fact that this condition is by far more commonly caused by peripheral lesions. Moreover, localizing the site of injury is crucial for guiding therapeutic management and determining the overall prognosis of the condition. We present a 73-year-old patient with an isolated central wrist drop caused by an embolic ischemic stroke that was initially confused for a lower motor neuron pathology affecting the radial nerve.
中风是一个重大的公共卫生问题，也是全球发病和死亡的主要原因。根据损伤的神经解剖部位，它常伴有广泛的神经功能缺损。症状差异很大，通常与人体功能区的分布一致。虽然罕见，但中风可表现为孤立性垂腕，由于这种情况迄今为止更常见于由周围病变引起，这就造成了诊断上的两难。此外，确定损伤部位对于指导治疗管理和判断病情的总体预后至关重要。我们报告一例73岁患者，因栓塞性缺血性中风导致孤立性中枢性垂腕，最初被误诊为影响桡神经的下运动神经元病变。
