Pseudoulnar Palsy Due to Ischemic Stroke; Case Report

Yıl 2021, Cilt: 12 Sayı: 3, 74 - 75, 18.08.2021

Şeref Emre Atiş Öner Bozan Bora Çekmen

https://doi.org/10.33706/jemcr.870978

Öz

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.

Anahtar Kelimeler

Ulnar Nerve, Paresis, Stroke

Kaynakça

• 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.