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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| Main Authors: | , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
18 January 2018
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| 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 |
| Author Notes: | Katharina Feil, Marion Huber, Nicolina Goldschagg, and Lars Kellert |
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| 520 | |a 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. | ||
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