First-Episode ‘Coenesthetic’ Schizophrenia Presenting with Alien Hand Syndrome and Partial Agenesis of the Corpus Callosum

2008 ◽  
Vol 58 (3-4) ◽  
pp. 118-122 ◽  
Author(s):  
Andor Simon ◽  
Mark Walterfang ◽  
Carlo Petralli ◽  
Dennis Velakoulis
Neurocase ◽  
2010 ◽  
Vol 16 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Raymond Faber ◽  
Alvi Azad ◽  
Richard Reinsvold

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
A. Lunardelli ◽  
A. Sartori ◽  
P. Mengotti ◽  
R. I. Rumiati ◽  
V. Pesavento

We report a case of a 47-year-old woman with 35-year history of multiple sclerosis, who showed alien hand signs, a rare behavioural disorder that involves unilateral goal-directed movements that are contrary to the individual's intention. Alien hand syndrome has been described in multiple sclerosis (MS) only occasionally and is generally suggestive of callosal disconnection. The patient presented also with bilateral limb apraxia and left hand agraphia, raising the possibility of cortical dysfunction or disconnection, in addition to corpus callosum and white matter involvement. Her specific pattern of symptoms supports the role of the corpus callosum in interhemispheric communication for complex as well as fine motor activities and may indicate that it can serve as both an inhibitory and excitatory function depending on task demands.


Neurology ◽  
1995 ◽  
Vol 45 (4) ◽  
pp. 802-808 ◽  
Author(s):  
D. H. Geschwind ◽  
M. Iacoboni ◽  
M. S. Mega ◽  
D. W. Zaidel ◽  
T. Cloughesy ◽  
...  

2016 ◽  
Vol 12 (4) ◽  
pp. 2129-2135 ◽  
Author(s):  
Xiaoyu Gao ◽  
Bing Li ◽  
Wenzheng Chu ◽  
Xuwen Sun ◽  
Chunjuan Sun

2015 ◽  
Vol 357 ◽  
pp. e414
Author(s):  
A. Cetiz ◽  
S. Tasdemir ◽  
O. Oz ◽  
H. Akgun ◽  
S. Hamcan ◽  
...  

2001 ◽  
Vol 59 (3A) ◽  
pp. 521-525 ◽  
Author(s):  
Paulo E.M. Carrilho ◽  
Paulo Caramelli ◽  
Francisco Cardoso ◽  
Egberto Reis Barbosa ◽  
Carlos A. Buchpiguel ◽  
...  

The alien hand syndrome (AHS) usually consists of an autonomous motor activity perceived as an involuntary and purposeful movement, with a feeling of foreignness of the involved limb, commonly associated with a failure to recognise ownership of the limb in the absence of visual clues. It has been described in association to lesions of the frontal lobes and corpus callosum. However, parietal damage can promote an involuntary, but purposeless, hand levitation, which, sometimes, resembles AHS. In the present study, four patients (cortico-basal ganglionic degeneration -- n=2; Alzheimer's disease -- n=1 and parietal stroke -- n=1) who developed alien hand motor behaviour and whose CT, MRI and/or SPECT have disclosed a major contralateral parietal damage or dysfunction are described. These results reinforce the idea that parietal lobe lesions may also play a role in some patients with purposeless involuntary limb levitation, which is different from the classic forms of AHS.


F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1564 ◽  
Author(s):  
Ihtesham Aatif Qureshi ◽  
Daniel Korya ◽  
Darine Kassar ◽  
Mohammed Moussavi

Background: Alien hand syndrome [AHS] is a rare and ill-defined neurological disorder. It produces complex, goal-directed motion of one hand that is involuntarily instigated. This syndrome characteristically arises after brain trauma, brain surgery, stroke or encephalitis. We describe a case of AHS in a patient who had a previous episode of subarachnoid hemorrhage affecting the left frontal lobe and corpus callosum. Case presentation: An 84-year-old woman presented to the emergency department complaining of headaches and several episodes of her left arm moving as if it was groping around trying to grab at her own body. A computed tomography scan of the head demonstrated an acute left superior frontal hemorrhage with compression of the corpus callosum. Transcranial Doppler report showed no significant abnormality in the insonated vessels. After being stabilized for the acute bleed, she was treated with clonazepam 0.5 mgat night for the uncontrolled hand movements. Her movements resolved by her next month follow up. The diagnosis of AHS was made based on her clinical presentation, characterization of the movement and localization correlating with findings in neuroimaging. Conclusion: We document a rare neurologic disorder seen in patients presenting with a history of previous strokes and a typical description of involuntary and unintentional, uncontrolled unilateral arm movements with repetitive grasping. The present case has a combination of frontal and callosal lesions.  These findings appear to support a potential destruction leading to the rare syndrome.


2020 ◽  
Author(s):  
Mhairi Murdoch ◽  
Jenny Hill ◽  
Mark Barber

Abstract Anarchic hand is a rare condition where the complex movements of one hand appear to be goal directed and smoothly executed and yet are unintended and unwanted. Unlike alien hand syndrome, the patients recognise that the affected hand is part of their own body. They know the hand is theirs, but they deny having control over its actions. The syndrome has been reported after surgery on the corpus callosum and with brain tumours, aneurysms, degenerative diseases of the brain and uncommonly with stroke. We present a case of a 74-year-old man who developed an anarchic right hand following thrombolysis for a posterior cerebral artery territory ischemic stroke.


1995 ◽  
Vol 58 (6) ◽  
pp. 735-737 ◽  
Author(s):  
M G Ventura ◽  
S Goldman ◽  
J Hildebrand

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