Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2010  |  Volume : 13  |  Issue : 4  |  Page : 302--304

Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases


Kaukab Maqbool Hassan 
 Department of Neurology, Command Hospital & Armed Forces Medical College, Pune, India

Correspondence Address:
Kaukab Maqbool Hassan
Department of Neurology, AFMC - Command Hospital, Pune - 411 040, Maharashtra
India

A 41-year-old male presented with acute onset weakness of the left hand. Magnetic resonance imaging (MRI) of the brain showed hyperacute infarct in the right middle cerebral artery (MCA)-posterior cerebral artery (PCA) watershed territory. Magnetic resonance angiography (MRA), Doppler ultrasonography, and digital subtraction angiography revealed severe right internal carotid artery (ICA) stenosis. The patient underwent carotid endarterectomy. The second patient was a 48-year-old male with acute onset right wrist drop. MRI of brain showed acute infarct in the left MCA-PCA watershed territory. MRA of brain and neck, Doppler ultrasonography of the neck vessels, and echocardiography were normal. Both the cases were not initially considered strokes by the referring physicians. Isolated hand palsy is a rare presentation of stroke, often mistaken for peripheral lesion. Fractional limb weakness as a presentation of acute ischemic stroke due to borderzone infarction involving parietal lobe is a rarely reported entity.


How to cite this article:
Hassan KM. Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases.Ann Indian Acad Neurol 2010;13:302-304


How to cite this URL:
Hassan KM. Fractional arm weakness as presentation of stroke due to posterior borderzone infarct: A report of two cases. Ann Indian Acad Neurol [serial online] 2010 [cited 2020 Oct 29 ];13:302-304
Available from: https://www.annalsofian.org/article.asp?issn=0972-2327;year=2010;volume=13;issue=4;spage=302;epage=304;aulast=Hassan;type=0