Wrist Drop | ScienceGate

We describe a patient with pseudoradial nerve palsy caused by acute ischaemic stroke (‘cortical hand’) to emphasise how preserved synkinetic wrist extension following fist closure can distinguish this from peripheral causes of wrist drop.

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A Case of Fever and a Wrist Drop

Neuroimmunology ◽

10.1093/med/9780190693190.003.0013 ◽

2018 ◽

pp. 69-74

Author(s):

Aaron E. Miller ◽

Tracy M. DeAngelis ◽

Michelle Fabian ◽

Ilana Katz Sand

Keyword(s):

Nervous System ◽

Gastrointestinal Tract ◽

Peripheral Neuropathy ◽

Peripheral Nerve ◽

Polyarteritis Nodosa ◽

Joint Pain ◽

Immunosuppressive Agents ◽

Nerve Biopsy ◽

Definitive Diagnosis ◽

Wrist Drop

Polyarteritis nodosa (PAN) is a systemic illness that most often involves the skin, kidneys, and gastrointestinal tract, in addition to the peripheral nervous system. It most often affects middle-aged individuals, men more than women. The particular type of peripheral neuropathy is often mononeuropathy or mononeuritis multiplex—a condition in which there is discrete involvement of multiple individual nerves. Definitive diagnosis of the vascular nature of the neuropathy requires peripheral nerve biopsy, which will demonstrate inflammation throughout the walls of small and medium-sized arteries. The CNS is also frequently involved in PAN. Constitutional symptoms, including fever, fatigue, and diffuse muscle and joint pain, are common and raise the suspicion of a systemic illness. Treatment generally involves the use of corticosteroids and immunosuppressive agents such as cyclophosphamide or azathioprine.

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A forgotten cause of bilateral wrist drop

Astrocyte ◽

10.4103/2349-0977.172676 ◽

2015 ◽

Vol 2 (2) ◽

pp. 89

Author(s):

SaumyaH Mittal ◽

Shivanand Pai ◽

KC Rakshith ◽

ZK Misri

Keyword(s):

Wrist Drop

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Acute compressive radial neuropathy and wrist drop due to the repetitive overuse of the arm

Neurological Sciences ◽

10.1007/s10072-019-04100-1 ◽

2019 ◽

Vol 41 (4) ◽

pp. 989-991 ◽

Cited By ~ 1

Author(s):

Cevriye Mülkoğlu ◽

Barış Nacır ◽

Hakan Genç

Keyword(s):

Wrist Drop

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Isolated Wrist Drop Presenting as Acute Stroke: Rare Case Report with Review of Literature

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_115_18 ◽

2018 ◽

Vol 09 (04) ◽

pp. 647-649

Author(s):

Khushbu Goel ◽

Saraj Kumar Singh ◽

Himanshu Agarwal ◽

Joy Dev Mukherji ◽

Mukesh Kumar

Keyword(s):

Magnetic Resonance ◽

Acute Stroke ◽

Brain Mri ◽

Intravenous Thrombolysis ◽

Acute Onset ◽

Cerebral Stroke ◽

Rare Presentation ◽

Rare Case Report ◽

Magnetic Resonance Imaging Mri ◽

Wrist Drop

ABSTRACTIsolated wrist drop is very unusual clinical presentation due to cerebral stroke. It is highly confused with peripheral neuropathy. However, timely detection of acute stroke as one of the causes of wrist drop is necessary as it changes the line of treatment and prognosis significantly. Here we are presenting a 62 year-old diabetic and hypertensive male patient who came with acute onset weakness of right hand. Initial Magnetic resonance imaging (MRI) of the brain showed hyperacute infarct in the splenium of corpus callosum. Magnetic resonance angiography (MRA) was normal. Repeat brain MRI on next day showed acute infarct at hand area of motor strip in posterior frontal region. The patient underwent intravenous thrombolysis and thereafter improved significantly. Isolated hand palsy is a rare presentation of stroke, often mistaken for peripheral lesion.

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