title: Picture quiz: 'the upper hand'.
abstract: A 76 year-old right-handed man presented acutely with a sudden onset of weakness affecting his right hand only. This happened while working in the garden. On detailed history taking, he denied any previous symptoms, trauma or prodromal illnesses. He denied any other neurological symptoms.
authors: Consultant Geriatrician, The Ipswich Hospital, Heath Road, Ipswich IP4 5PD.
authors: R
authors: R
authors: Sivakumar
authors: Afb
authors: A
authors: Alsawaf