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病例报告：脑梗死所致可逆性异己手综合征

Case Report: Reversible alien hand syndrome caused by cerebral infarction.

作者信息

Lin Guo-Liang, Yu Xiao-Qian, Cai Han-Yu, Zhou Ru-Yi, Li Xiao-Tian, Zhang Xiong, Wang Jian-Yong

机构信息

Department of Neurology, Institute of Geriatric Neurology, The Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, China.

出版信息

Front Hum Neurosci. 2025 Mar 12;19:1551539. doi: 10.3389/fnhum.2025.1551539. eCollection 2025.

DOI:10.3389/fnhum.2025.1551539
PMID:40144586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11936989/
Abstract

INTRODUCTION

Alien hand syndrome (AHS) is a rare apraxia syndrome that may arise from several neurological disorders including stroke. Given the uncommon symptoms, stroke with AHS as its main manifestation often results in diagnostic challenges and treatment delays.

CASE PRESENTATION

We herein presented a case of post-stroke AHS caused by corpus callosum infarction. We prescribed him aspirin, clopidogrel, atorvastatin and memantine, and his AHS was remitted completely within 8 days.

CONCLUSION

AHS is a rare manifestation of cerebral infarction that is generally reversible. Rapid identification of post-stroke AHS and early initiation of treatment are important to improve patient's prognosis.

摘要

引言

异己手综合征（AHS）是一种罕见的失用症综合征，可能由包括中风在内的多种神经系统疾病引起。鉴于症状不常见，以AHS为主要表现的中风常导致诊断困难和治疗延误。

病例报告

我们在此报告一例由胼胝体梗死引起的中风后AHS病例。我们给他开了阿司匹林、氯吡格雷、阿托伐他汀和美金刚，他的AHS在8天内完全缓解。

结论

AHS是脑梗死的一种罕见表现，通常是可逆的。快速识别中风后AHS并尽早开始治疗对改善患者预后很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/11936989/c52cb7fbced8/fnhum-19-1551539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/11936989/7e482a1e6233/fnhum-19-1551539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/11936989/c52cb7fbced8/fnhum-19-1551539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/11936989/7e482a1e6233/fnhum-19-1551539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aea/11936989/c52cb7fbced8/fnhum-19-1551539-g002.jpg

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Alien hand syndrome, a rare presentation of corpus callosum and cingulate infarction.脑胼胝体和扣带回梗死所致的罕见性“幻手综合征”
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