Unilateral neglect or alien hand syndrome? A diagnostic challenge

Wan Yusoff, Wan R. and Hanafi, Muhammad H. and Ibrahim, Al Hafiz and Kassim, Nur K. and Suhaimi, Anwar (2021) Unilateral neglect or alien hand syndrome? A diagnostic challenge. Journal of Taibah University Medical Sciences, 16 (2). pp. 288-291. ISSN 1658-3612

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Official URL: https://doi.org/10.1016/j.jtumed.2020.12.003


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. © 2020 The Authors

Item Type: Article
Uncontrolled Keywords: Alien hand syndrome; Apraxias; Neglect; Rehabilitation; Stroke
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 05 May 2021 07:20
Last Modified: 05 May 2021 07:20
URI: http://eprints.um.edu.my/id/eprint/25950

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