Recovery and outcome of frontal alien hand syndrome after anterior cerebral artery stroke.
Ischemic lesions within the territory of the anterior cerebral artery present with a variety of clinical signs and symptoms. Among these, frontal alien hand syndrome is rare and easily overlooked in the acute clinical setting, but significantly impacts on functional activities of daily life. Given its rareness, very little is known about its long-term outcome. To shade some more light onto this issue, clinical presentation, course of rehabilitation and outcome of two illustrative cases of frontal alien hand syndrome following anterior cerebral artery stroke are presented. Within seven and nine months from symptom onset, respectively, the clinical symptoms of frontal alien hand had resolved completely in both cases. We conclude that frontal alien hand syndrome has a favourable long-term outcome.
Department of Neurology, Philipps-University Marburg, Germany; Klinik Kipfenberg, Neurologische Fachklinik, Kipfenberg, Germany. Electronic address: dennis.nowak@neurologie-kipfenberg.de.
Dennis A
DA
Nowak
Klinik Kipfenberg, Neurologische Fachklinik, Kipfenberg, Germany.
Kathrin
K
Bösl
Klinik Kipfenberg, Neurologische Fachklinik, Kipfenberg, Germany.
Jitka
J
Lüdemann-Podubecka
Klinik Kipfenberg, Neurologische Fachklinik, Kipfenberg, Germany.
Hans-Jürgen
HJ
Gdynia
Department of Neurology, Philipps-University Marburg, Germany; Klinik Kipfenberg, Neurologische Fachklinik, Kipfenberg, Germany.
Matthias
M
Ponfick
D000368:Aged; D055964:Alien Limb Phenomenon / Q000209:etiology*; D005260:Female; D006801:Humans; D020243:Infarction, Anterior Cerebral Artery / Q000150:complications* / Q000534:rehabilitation*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020127:Recovery of Function / Q000502:physiology*; D015898:Tomography Scanners, X-Ray Computed
Alien hand; Case report; Frontal release; Outcome; Rehabilitation; Stroke