Unilateral asterixis in arm and leg caused by internal capsula stroke

• Verfasst von: Feil, Katharina [VerfasserIn]
• Verfasst von: Huber, Marion [VerfasserIn]
• Verfasst von: Goldschagg, Nicolina [VerfasserIn]
• Verfasst von: Kellert, Lars [VerfasserIn]
• Titel: Unilateral asterixis in arm and leg caused by internal capsula stroke
• Verf.angabe: Katharina Feil, Marion Huber, Nicolina Goldschagg, and Lars Kellert
• E-Jahr: 2018
• Jahr: 18 January 2018
• Umfang: 3 S.
• Fussnoten: Gesehen am 29.04.2020
• Titel Quelle: Enthalten in: Case reports in neurological medicine
• Ort Quelle: New York, NY : Hindawi, 2011
• Jahr Quelle: 2018
• Band/Heft Quelle: 2018 Article ID 3946380, 3 Seiten
• ISSN Quelle: 2090-6676
• DOI: doi:10.1155/2018/3946380
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1696817862

Abstract

We report an unusual clinical manifestation of ischemic stroke with acute right-sided asterixis affecting the arm as well as the leg due to a lesion in the left posterior limb of the internal capsula. After treatment with intravenous thrombolysis the patient made a good recovery. Notably, in this case unilateral asterixis affected the arm as well as the leg, resulting in postural and gait instability. In addition, damage in the basal ganglia-thalamo-cortical network, as in our patient, has to be distinguished from other supratentorial causes of acute asterixis like thalamic or frontal lobe lesions linked to the cerebello-brainstem-thalamo-frontal lobe circuits.