title: Anarchic hand syndrome following resection of a frontal lobe tumor.
abstract: Anarchic hand syndrome (AHS) is a rare disorder characterized by unwilled, but seemingly purposeful movements of the affected upper limb which are perceived by the patients not to be under their control. It often interferes with goal-directed movements and bimanual tasks. At present there is no effective method of treatment of AHS. We report here a case of AHS following resection of a frontal lobe tumor and describe its effects on the patient's functional activities. The patient used avoidance behavior and mental concentration to overcome the disabling effect of AHS. These strategies appear to be useful in the management of AHS.
authors.affiliation: Moseley Hall Hospital, Alcester Road, Birmingham, UK. Magid.bakheit@bhamcommunity.nhs.uk
authors.forename: A M O
authors.initials: AM
authors.lastname: Bakheit
authors.forename: A
authors.initials: A
authors.lastname: Brennan
authors.forename: P
authors.initials: P
authors.lastname: Gan
authors.forename: H
authors.initials: H
authors.lastname: Green
authors.forename: S
authors.initials: S
authors.lastname: Roberts
mesh_terms: D000203:Activities of Daily Living; D055964:Alien Limb Phenomenon / Q000209:etiology* / Q000523:psychology* / Q000534:rehabilitation; D001254:Astrocytoma / Q000150:complications / Q000601:surgery*; D001932:Brain Neoplasms / Q000150:complications / Q000601:surgery*; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology; D056344:Executive Function; D005625:Frontal Lobe / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008568:Memory / Q000502:physiology; D008875:Middle Aged; D009483:Neuropsychological Tests; D011183:Postoperative Complications / Q000523:psychology* / Q000534:rehabilitation; D011569:Psychiatric Status Rating Scales; D014057:Tomography, X-Ray Computed; D014888:Wechsler Scales