57-year-old Female with Unusual Left-arm Movements

Author:

Powell Christina1,Rosenblatt Lauren2,Bontempo Laura2,Dezman Zachary3

Affiliation:

1. University of Maryland Medical Center, Baltimore, Maryland

2. University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland

3. University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland, Baltimore, Department of Epidemiology and Public Health, Baltimore, Maryland

Abstract

Introduction: A 57-year-old, right-hand dominant female presented to the emergency department striking herself with her left hand. Case Presentation: The astute medical staff looked beyond a behavioral health etiology. A detailed history, physical examination, and workup reveals the fascinating final diagnosis. Discussion: This case takes the reader through the differential diagnosis and systematic workup of uncontrolled limb movements with discussion of the studies which ultimately led to this patient’s diagnosis.

Publisher

Western Journal of Emergency Medicine

Subject

Emergency Nursing,Emergency Medicine

Reference18 articles.

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2. Brion S and Jedynak CP. Disorders of interhemispheric transfer (callosal disconnection). 3 cases of tumor of the corpus callosum. The strange hand sign]. Rev Neurol (Paris). 1972;126(4):257-66.

3. Chan JL, Chen RS, Ng KK. Leg manifestation in alien hand syndrome. J Formos Med Assoc. 1996;95(4):342–46.

4. Akelaitis A. Studies on the corpus callosum, IV. Diagnostic dyspraxia in epileptics following partial and complete section of the corpus callosum. Am J Psychiatry. 1945;101(5):594–9.

5. Feinberg TE, Schindler RJ, Flanagan NG, et al. Two alien hand syndromes. Neurology. 1992;42(1):19–24.

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