Unilateral asterixis in arm and leg caused by internal capsula stroke

We report an unusual clinical manifestation of ischemic stroke with acute right-sided asterixis affecting the arm as well as the leg due to a lesion in the left posterior limb of the internal capsula. After treatment with intravenous thrombolysis the patient made a good recovery. Notably, in this ca...

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Bibliographic Details
Main Authors: Feil, Katharina (Author) , Huber, Marion (Author) , Goldschagg, Nicolina (Author) , Kellert, Lars (Author)
Format: Article (Journal)
Language:English
Published: 18 January 2018
In: Case reports in neurological medicine
Year: 2018, Volume: 2018, Pages: 1-3
ISSN:2090-6676
DOI:10.1155/2018/3946380
Online Access:Verlag, lizenzpflichtig, Volltext: https://www.hindawi.com/journals/crinm/2018/3946380/
Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1155/2018/3946380
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Author Notes:Katharina Feil, Marion Huber, Nicolina Goldschagg, and Lars Kellert
Description
Summary:We report an unusual clinical manifestation of ischemic stroke with acute right-sided asterixis affecting the arm as well as the leg due to a lesion in the left posterior limb of the internal capsula. After treatment with intravenous thrombolysis the patient made a good recovery. Notably, in this case unilateral asterixis affected the arm as well as the leg, resulting in postural and gait instability. In addition, damage in the basal ganglia-thalamo-cortical network, as in our patient, has to be distinguished from other supratentorial causes of acute asterixis like thalamic or frontal lobe lesions linked to the cerebello-brainstem-thalamo-frontal lobe circuits.
Item Description:Gesehen am 29.04.2020
Physical Description:Online Resource
ISSN:2090-6676
DOI:10.1155/2018/3946380