Isolated Hand Paresis: A Case Series
Case 9. A previously healthy 61-year-old male was writing on his PC when the fingers of his left hand suddenly did not obey. This lasted for 30 min. Two days later, he was suddenly not able to roll tobacco. On examination the following day, only a minor reduction of finger velocity was observed on tapping (MRC 5-; online suppl. video ). MRI revealed two small ischemic lesions: one in the right parietal-occipital region and one in the right motor cortex (fig. ). A significant carotid stenosis was found, and the patient underwent endarterectomy. On follow-up about 2.5 years later mRS was 0.