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Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report

RATIONALE: Alien Hand syndrome (AHS) is characterized in most patients by seemingly purposeful, involuntary movements of the extremities. It is not well known among physicians on account of its diverse clinical manifestations. PATIENT CONCERNS: We present a 57-year-old Chinese man who could not stop...

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Autores principales: Shao, Jie, Bai, Rongrong, Duan, Guangyu, Guan, Yujia, Cui, Li, Deng, Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716696/
https://www.ncbi.nlm.nih.gov/pubmed/31441866
http://dx.doi.org/10.1097/MD.0000000000016891
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author Shao, Jie
Bai, Rongrong
Duan, Guangyu
Guan, Yujia
Cui, Li
Deng, Hui
author_facet Shao, Jie
Bai, Rongrong
Duan, Guangyu
Guan, Yujia
Cui, Li
Deng, Hui
author_sort Shao, Jie
collection PubMed
description RATIONALE: Alien Hand syndrome (AHS) is characterized in most patients by seemingly purposeful, involuntary movements of the extremities. It is not well known among physicians on account of its diverse clinical manifestations. PATIENT CONCERNS: We present a 57-year-old Chinese man who could not stop or turn himself around as he involuntarily and uncontrollably walked forward, which had happened frequently in the month prior to treatment. He had been a heavy drinker for thirty years before the onset of the disease, with an alcohol intake of 600 to 800 ml/day. DIAGNOSES: History of alcohol intake and the brain magnetic resonance imaging findings indicated a diagnosis of Marchiafava–Bignami disease. The patient was additionally diagnosed with Alien Hand Syndrome according to his clinical symptoms. INTERVENTIONS: The patient was treated with high doses of vitamin B for 1 month. OUTCOMES: The patient's abnormal behaviors never appeared during the treatment, and no instance of recurrence was observed during the 6 months of follow-up. LESSONS: The clinical manifestation of AHS is non-specific. Only by considering its diverse manifestation can doctors better understand the disease and achieve early intervention.
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spelling pubmed-67166962019-10-01 Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report Shao, Jie Bai, Rongrong Duan, Guangyu Guan, Yujia Cui, Li Deng, Hui Medicine (Baltimore) 5300 RATIONALE: Alien Hand syndrome (AHS) is characterized in most patients by seemingly purposeful, involuntary movements of the extremities. It is not well known among physicians on account of its diverse clinical manifestations. PATIENT CONCERNS: We present a 57-year-old Chinese man who could not stop or turn himself around as he involuntarily and uncontrollably walked forward, which had happened frequently in the month prior to treatment. He had been a heavy drinker for thirty years before the onset of the disease, with an alcohol intake of 600 to 800 ml/day. DIAGNOSES: History of alcohol intake and the brain magnetic resonance imaging findings indicated a diagnosis of Marchiafava–Bignami disease. The patient was additionally diagnosed with Alien Hand Syndrome according to his clinical symptoms. INTERVENTIONS: The patient was treated with high doses of vitamin B for 1 month. OUTCOMES: The patient's abnormal behaviors never appeared during the treatment, and no instance of recurrence was observed during the 6 months of follow-up. LESSONS: The clinical manifestation of AHS is non-specific. Only by considering its diverse manifestation can doctors better understand the disease and achieve early intervention. Wolters Kluwer Health 2019-08-23 /pmc/articles/PMC6716696/ /pubmed/31441866 http://dx.doi.org/10.1097/MD.0000000000016891 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 5300
Shao, Jie
Bai, Rongrong
Duan, Guangyu
Guan, Yujia
Cui, Li
Deng, Hui
Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report
title Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report
title_full Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report
title_fullStr Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report
title_full_unstemmed Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report
title_short Intermittent alien hand syndrome caused by Marchiafava–Bignami disease: A case report
title_sort intermittent alien hand syndrome caused by marchiafava–bignami disease: a case report
topic 5300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716696/
https://www.ncbi.nlm.nih.gov/pubmed/31441866
http://dx.doi.org/10.1097/MD.0000000000016891
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