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Pseudoulnar Palsy Due to Ischemic Stroke; Case Report

Year 2021, Volume 12, Issue 3, 74 - 75, 18.08.2021
https://doi.org/10.33706/jemcr.870978

Abstract

Isolated motor nerve paresis can occur due to central nervous system lesions. This condition is extremely rare, they are often misdiagnosed as a peripheral nerve lesion. 83-year-old male, applied to our hospital with 4th and 5th digit weakness. Neuroimaging revealed cortical-subcortical diffusion restriction in the medial gyrus of the precentral gyrus. The patient was diagnosed as ischemic stroke. In this article, we presented a case of ischemic stroke that mimics ulnar nerve paresis and be easily overlooked.

References

  • Lhermitte J. De la valeur sémiologique des troubles de la sensibilité á disposition radiculaire dans les lésions de l'encephale. Sem Med 1909; 24: 277-9.
  • Akpınar CK., Yılmaz A., Dogru H., Aytac E. Izole Ulnar Sinir Paralizisini Taklit Eden Iskemik Inme Olgusu Turk Beyin Damar Hastalıkları Degisi 2016; 22(3): 113-5.
  • Ashizawa T, Rolak LA, Hines M. Spastic pure motor monoparesis. Ann Neurol. 1986; 20: 638-641.
  • Hiraga A. Pure motor monoparesis due to ischemic stroke. The neurologist. 2011; 17(6): 301-8.
  • Tahir H., Daruwalla V., Meisel J., Kodsi,SE Pseudoradial nerve palsy caused by acute ischemic stroke. Journal of investigative medicine high impact case reports . 2016; 4(3): 2324709616658310.
  • Paciaroni M, Caso V, Milia P, et al. Isolated monoparesis following stroke. J Neurol Neurosurg Psychiatry 2005; 76: 805-7
  • Melo TP, Bogousslavsky J, van Melle G, et al. Pure motor stroke: a reappraisal. Neurology. 1992; 42: 789-95.
  • Maeder-Ingvar M, van Melle G, Bogousslavsky J. Pure monoparesis: a particular stroke subgroup? Arch Neurol. 2005; 62: 1221-4.
  • Yousry TA, Schmid UD, Alkadhi H, et al. Localization of the motor hand area to a knob on the precentral gyrus: a new landmark. Brain. 1997; 120: 141-57.
  • Celebisoy M., Ozdemirkiran T., Tokucoglu F., Kaplangi DN., Arici S. Isolated hand palsy due to cortical infarction: localization of the motor hand area. The neurologist 2007; 13(6): 376-9.
  • Manjaly Z., Luft AR., Sarikaya H. An unusual cause of pseudomedian nerve palsy. Case Rep Neurol Med. 2011; 2011: 474271.
  • Chen PL, Hsu HY, Wang PY. Isolated hand weakness in cortical infarctions. J Formos Med Assoc. 2006; 105: 861-5.
  • Lee PH, Han SW, Heo JH. Isolated weakness of the fingers in cortical infarction. Neurology. 1998; 50: 823-4.
  • Kawabata Y., Miyaji Y., Joki H., Seki S., Mori K., Kamide T. Isolated index finger palsy due to cortical infarction. Journal of Stroke and Cerebrovascular Diseases. 2014; 23(10),: e475-e476.
  • Kim JS, Chung JP, Ha SW. Isolated weakness of index finger due to small cortical infarction. Neurology. 2002; 58: 985-6.
  • Timsit S, Logak M, Manai R, et al. Evolving isolated hand palsy: a parietal lobe syndrome associated with carotid artery disease. Brain 1997; 120: 2251-7.

Year 2021, Volume 12, Issue 3, 74 - 75, 18.08.2021
https://doi.org/10.33706/jemcr.870978

Abstract

References

  • Lhermitte J. De la valeur sémiologique des troubles de la sensibilité á disposition radiculaire dans les lésions de l'encephale. Sem Med 1909; 24: 277-9.
  • Akpınar CK., Yılmaz A., Dogru H., Aytac E. Izole Ulnar Sinir Paralizisini Taklit Eden Iskemik Inme Olgusu Turk Beyin Damar Hastalıkları Degisi 2016; 22(3): 113-5.
  • Ashizawa T, Rolak LA, Hines M. Spastic pure motor monoparesis. Ann Neurol. 1986; 20: 638-641.
  • Hiraga A. Pure motor monoparesis due to ischemic stroke. The neurologist. 2011; 17(6): 301-8.
  • Tahir H., Daruwalla V., Meisel J., Kodsi,SE Pseudoradial nerve palsy caused by acute ischemic stroke. Journal of investigative medicine high impact case reports . 2016; 4(3): 2324709616658310.
  • Paciaroni M, Caso V, Milia P, et al. Isolated monoparesis following stroke. J Neurol Neurosurg Psychiatry 2005; 76: 805-7
  • Melo TP, Bogousslavsky J, van Melle G, et al. Pure motor stroke: a reappraisal. Neurology. 1992; 42: 789-95.
  • Maeder-Ingvar M, van Melle G, Bogousslavsky J. Pure monoparesis: a particular stroke subgroup? Arch Neurol. 2005; 62: 1221-4.
  • Yousry TA, Schmid UD, Alkadhi H, et al. Localization of the motor hand area to a knob on the precentral gyrus: a new landmark. Brain. 1997; 120: 141-57.
  • Celebisoy M., Ozdemirkiran T., Tokucoglu F., Kaplangi DN., Arici S. Isolated hand palsy due to cortical infarction: localization of the motor hand area. The neurologist 2007; 13(6): 376-9.
  • Manjaly Z., Luft AR., Sarikaya H. An unusual cause of pseudomedian nerve palsy. Case Rep Neurol Med. 2011; 2011: 474271.
  • Chen PL, Hsu HY, Wang PY. Isolated hand weakness in cortical infarctions. J Formos Med Assoc. 2006; 105: 861-5.
  • Lee PH, Han SW, Heo JH. Isolated weakness of the fingers in cortical infarction. Neurology. 1998; 50: 823-4.
  • Kawabata Y., Miyaji Y., Joki H., Seki S., Mori K., Kamide T. Isolated index finger palsy due to cortical infarction. Journal of Stroke and Cerebrovascular Diseases. 2014; 23(10),: e475-e476.
  • Kim JS, Chung JP, Ha SW. Isolated weakness of index finger due to small cortical infarction. Neurology. 2002; 58: 985-6.
  • Timsit S, Logak M, Manai R, et al. Evolving isolated hand palsy: a parietal lobe syndrome associated with carotid artery disease. Brain 1997; 120: 2251-7.

Details

Primary Language English
Subjects Medicine
Journal Section Case Report
Authors

Şeref Emre ATİŞ>
MERSİN ŞEHİR HASTANESİ
0000-0002-5094-6000
Türkiye


Öner BOZAN> (Primary Author)
Prof. Dr. Cemil Taşçıoğlu City Hospital
0000-0002-4195-2601
Türkiye


Bora ÇEKMEN>
Karabuk University, Faculty of Medicine
0000-0003-3348-8375
Türkiye

Early Pub Date August 18, 2021
Publication Date August 18, 2021
Published in Issue Year 2021, Volume 12, Issue 3

Cite

Bibtex @case report { jemcr870978, journal = {Journal of Emergency Medicine Case Reports}, eissn = {2149-9934}, address = {Yukarı Ayrancı Güleryüz Sk. No: 26/19 06550 Çankaya-Ankara, Turkey}, publisher = {Acil Tıp Uzmanları Derneği}, year = {2021}, volume = {12}, number = {3}, pages = {74 - 75}, doi = {10.33706/jemcr.870978}, title = {Pseudoulnar Palsy Due to Ischemic Stroke; Case Report}, key = {cite}, author = {Atiş, Şeref Emre and Bozan, Öner and Çekmen, Bora} }
APA Atiş, Ş. E. , Bozan, Ö. & Çekmen, B. (2021). Pseudoulnar Palsy Due to Ischemic Stroke; Case Report . Journal of Emergency Medicine Case Reports , 12 (3) , 74-75 . DOI: 10.33706/jemcr.870978
MLA Atiş, Ş. E. , Bozan, Ö. , Çekmen, B. "Pseudoulnar Palsy Due to Ischemic Stroke; Case Report" . Journal of Emergency Medicine Case Reports 12 (2021 ): 74-75 <https://dergipark.org.tr/en/pub/jemcr/issue/64528/870978>
Chicago Atiş, Ş. E. , Bozan, Ö. , Çekmen, B. "Pseudoulnar Palsy Due to Ischemic Stroke; Case Report". Journal of Emergency Medicine Case Reports 12 (2021 ): 74-75
RIS TY - JOUR T1 - Pseudoulnar Palsy Due to Ischemic Stroke; Case Report AU - Şeref EmreAtiş, ÖnerBozan, BoraÇekmen Y1 - 2021 PY - 2021 N1 - doi: 10.33706/jemcr.870978 DO - 10.33706/jemcr.870978 T2 - Journal of Emergency Medicine Case Reports JF - Journal JO - JOR SP - 74 EP - 75 VL - 12 IS - 3 SN - -2149-9934 M3 - doi: 10.33706/jemcr.870978 UR - https://doi.org/10.33706/jemcr.870978 Y2 - 2021 ER -
EndNote %0 Journal of Emergency Medicine Case Reports Pseudoulnar Palsy Due to Ischemic Stroke; Case Report %A Şeref Emre Atiş , Öner Bozan , Bora Çekmen %T Pseudoulnar Palsy Due to Ischemic Stroke; Case Report %D 2021 %J Journal of Emergency Medicine Case Reports %P -2149-9934 %V 12 %N 3 %R doi: 10.33706/jemcr.870978 %U 10.33706/jemcr.870978
ISNAD Atiş, Şeref Emre , Bozan, Öner , Çekmen, Bora . "Pseudoulnar Palsy Due to Ischemic Stroke; Case Report". Journal of Emergency Medicine Case Reports 12 / 3 (August 2021): 74-75 . https://doi.org/10.33706/jemcr.870978
AMA Atiş Ş. E. , Bozan Ö. , Çekmen B. Pseudoulnar Palsy Due to Ischemic Stroke; Case Report. Journal of Emergency Medicine Case Reports. 2021; 12(3): 74-75.
Vancouver Atiş Ş. E. , Bozan Ö. , Çekmen B. Pseudoulnar Palsy Due to Ischemic Stroke; Case Report. Journal of Emergency Medicine Case Reports. 2021; 12(3): 74-75.
IEEE Ş. E. Atiş , Ö. Bozan and B. Çekmen , "Pseudoulnar Palsy Due to Ischemic Stroke; Case Report", Journal of Emergency Medicine Case Reports, vol. 12, no. 3, pp. 74-75, Aug. 2021, doi:10.33706/jemcr.870978