Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report

Limb pain as a presenting feature of an ischemic or hemorrhagic stroke is extremely rare. Here we present a case of a 65-year-old male with complaints of left arm pain and allodynia (specifically light touch to any part of the left arm produced significant discomfort) who was found to have a right p...

Descripción completa

Detalles Bibliográficos
Autores principales: Lucerna, Alan, Espinosa, James, Zaman, Taimur, Hertz, Risha, Stranges, Douglas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000842/
https://www.ncbi.nlm.nih.gov/pubmed/29955405
http://dx.doi.org/10.1155/2018/9598675
_version_ 1783331842865233920
author Lucerna, Alan
Espinosa, James
Zaman, Taimur
Hertz, Risha
Stranges, Douglas
author_facet Lucerna, Alan
Espinosa, James
Zaman, Taimur
Hertz, Risha
Stranges, Douglas
author_sort Lucerna, Alan
collection PubMed
description Limb pain as a presenting feature of an ischemic or hemorrhagic stroke is extremely rare. Here we present a case of a 65-year-old male with complaints of left arm pain and allodynia (specifically light touch to any part of the left arm produced significant discomfort) who was found to have a right parietal lobe intraparenchymal bleed after smoking crack cocaine. Acute central pain is mainly associated with parietal, thalamic, and brainstem lesions. It has been proposed that acute limb pain from a parietal lobe stroke is due to the disconnection of the parietal cortex from the thalamus secondary to the interruption of the pathways between the hemisphere and thalamus/basal ganglia.
format Online
Article
Text
id pubmed-6000842
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-60008422018-06-28 Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report Lucerna, Alan Espinosa, James Zaman, Taimur Hertz, Risha Stranges, Douglas Case Rep Neurol Med Case Report Limb pain as a presenting feature of an ischemic or hemorrhagic stroke is extremely rare. Here we present a case of a 65-year-old male with complaints of left arm pain and allodynia (specifically light touch to any part of the left arm produced significant discomfort) who was found to have a right parietal lobe intraparenchymal bleed after smoking crack cocaine. Acute central pain is mainly associated with parietal, thalamic, and brainstem lesions. It has been proposed that acute limb pain from a parietal lobe stroke is due to the disconnection of the parietal cortex from the thalamus secondary to the interruption of the pathways between the hemisphere and thalamus/basal ganglia. Hindawi 2018-05-31 /pmc/articles/PMC6000842/ /pubmed/29955405 http://dx.doi.org/10.1155/2018/9598675 Text en Copyright © 2018 Alan Lucerna et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lucerna, Alan
Espinosa, James
Zaman, Taimur
Hertz, Risha
Stranges, Douglas
Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report
title Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report
title_full Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report
title_fullStr Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report
title_full_unstemmed Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report
title_short Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report
title_sort limb pain as unusual presentation of a parietal intraparenchymal bleeding associated with crack cocaine use: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000842/
https://www.ncbi.nlm.nih.gov/pubmed/29955405
http://dx.doi.org/10.1155/2018/9598675
work_keys_str_mv AT lucernaalan limbpainasunusualpresentationofaparietalintraparenchymalbleedingassociatedwithcrackcocaineuseacasereport
AT espinosajames limbpainasunusualpresentationofaparietalintraparenchymalbleedingassociatedwithcrackcocaineuseacasereport
AT zamantaimur limbpainasunusualpresentationofaparietalintraparenchymalbleedingassociatedwithcrackcocaineuseacasereport
AT hertzrisha limbpainasunusualpresentationofaparietalintraparenchymalbleedingassociatedwithcrackcocaineuseacasereport
AT strangesdouglas limbpainasunusualpresentationofaparietalintraparenchymalbleedingassociatedwithcrackcocaineuseacasereport

Ejemplares similares