Ischaemic stroke: hand knob syndrome

Evidence-based neurology checklist on ischaemic stroke: hand knob syndrome: Pathology This is stroke presentation as isolated hand weakness It is caused by stroke or lesions in the precentral gyrus This is the hand knob area Frequent causes Clinical features Differential diagnosis

Pathology

  • This is stroke presentation as isolated hand weakness
  • It is caused by stroke or lesions in the precentral gyrus
  • This is the hand knob area

Frequent causes

Clinical features

Differential diagnosis

References

  1. Orosz P, Szőcs I, Rudas G, Folyovich A, Bereczki D, Vastagh I. Cortical hand knob stroke: report of 25 cases. J Stroke Cerebrovasc Dis 2018; 27:1949-1955. 
  2. Alshanqiti MA, Alharbi N, Althobaiti FA, et al. Hand knob syndrome secondary to ipsilateral concomitant carotid fibromuscular dysplasia and proximal atherosclerotic disease. Cureus 2023; 15:e40072.
  3. Rissardo JP, Byroju VV, Mukkamalla S, Caprara ALF. A narrative review of stroke of cortical hand knob area. Medicina (Kaunas) 2024; 60:318.
  4. Finkelsteyn AM, Saucedo MA, Miquelini LA, et al. Ischemic stroke of the "hand knob area": a case series and literature review. J Clin Neurosci 2019; 65:100-105.
  5. Chapur J, Kojic K, Kula M, Flexman AM. Perioperative cortical hand stroke syndrome mimicking peripheral neuropathy: a case report. Can J Anaesth 2023; 70:1839-1844.
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