All Journals from R Sivakumar
A 38 year old male presented with worsening breathlessness and cough for 6 months duration. He was treated in the community with salbutamol and steroid inhaler by GP for suspected asthma but with no benefit. He presented to the emergency department complaining of further worsening breathlessness. His initial ECG (Figure 1) was abnormal. Subsequent CT scan of the chest was arranged (Figure 2, 3). Full Text File size: 243 KB Downloads: 1...
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While peripheral lesions account for a significant proportion of cases presenting with isolated motor hand weakness (Box 1), this case illustrates the importance of recognizing infarction of the hand knob area as a cause for such a presentation. An accurate history is essential, along with a detailed systemic and neurological examination performed, particularly looking for other neurological findings that may hint towards a peripheral cause or involvement of more areas cortically. The presence of weakness of all muscle groups is unusual in peripheral nerve lesions and led in this case to the initial investigation with cerebral MRI, which provided the diagnosis.
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A 76 year-old right-handed man presented acutely with a sudden onset of weakness affecting his right hand only. This happened while working in the garden.
On detailed history taking, he denied any previous symptoms, trauma or prodromal illnesses. He denied any other neurological symptoms.
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