Bilateral alien hand syndrome in cerebrovascular disease: CT, MR, CT angiography, and 99mTc-HMPAO-SPECT findings

Clin Nucl Med. 2015 Mar;40(3):e211-4. doi: 10.1097/RLU.0000000000000637.

Abstract

We report a 65-year-old man with a right cerebral infarction that occurred 15 years ago and a residual left hemiparesis that began with progressive contralateral hemiparesis. During the hospitalization, the patient developed a bilateral alien hand syndrome. Urgent CT, MR, CT angiography, and brain perfusion SPECT were performed that revealed an old right cerebral infarction and a new ischemic lesion in left parietal lobe and adjacent brain territories.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alien Limb Phenomenon / complications
  • Alien Limb Phenomenon / diagnosis
  • Alien Limb Phenomenon / diagnostic imaging*
  • Cerebral Angiography*
  • Cerebral Infarction / complications
  • Cerebral Infarction / diagnosis
  • Cerebral Infarction / diagnostic imaging*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Multimodal Imaging
  • Radiopharmaceuticals*
  • Technetium Tc 99m Exametazime*
  • Tomography, Emission-Computed, Single-Photon*

Substances

  • Radiopharmaceuticals
  • Technetium Tc 99m Exametazime