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a Department of
Neurology, Stroke Service, VBK-802 Massachusetts General Hospital,
Harvard Medical School, 32 Fruit Street, Boston MA 02114, USA, b Department of Neurology, McLean Hospital,
115 Mill Street, Belmont, MA 02178-9106, USA
Correspondence to: Dr Ferdinando S Buonanno, Department of Neurology, Stroke Service, VBK-802 Massachusetts General Hospital, 32 Fruit Street, Boston MA, 02114, USA. Telephone 001 617 726 84 59; fax 001 617 726 50 43.
Received 8
September 1997 and in revised form 6 January 1998;
Accepted 14 January 1998
An 81 year old right handed woman developed a left alien
hand syndrome characterised by involuntary movements of choking and hitting the face, neck, and shoulder. The patient showed multiple disorders of primary sensation, sensory processing, hemispatial attention, and visual association, as well as a combination of sensory,
optic, and cerebellar ataxia (triple ataxia) of the left arm in the
absence of motor neglect or hemiparesis. Imaging studies disclosed
subacute infarction in the right thalamus, hippocampus, inferior
temporal lobes, splenium of corpus callosum, and occipital lobe due to
right posterior cerebral artery occlusion. This rare syndrome should be
considered as a "sensory" or "posterior" form of the
alien hand syndrome, to be distinguished from the
"motor" or "anterior" form described more commonly.
This article has been cited by other articles:
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  M Brainin, A Seiser, and K Matz The mirror world of motor inhibition: the alien hand syndrome in chronic stroke J. Neurol. Neurosurg. Psychiatry, March 1, 2008; 79(3): 246 - 252. [Abstract] [Full Text] [PDF]
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 F. Boesebeck and A. Ebner Paroxysmal alien limb phenomena due to epileptic seizures and electrical cortical stimulation Neurology, November 9, 2004; 63(9): 1725 - 1727. [Abstract] [Full Text] [PDF]
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 A. Pappalardo, M. R. Ciancio, E. Reggio, and F. Patti Posterior Alien Hand Syndrome: Case Report and Rehabilitative Treatment Neurorehabil Neural Repair, September 1, 2004; 18(3): 176 - 181. [Abstract] [PDF]
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 I. Biran and A. Chatterjee Alien Hand Syndrome Arch Neurol, February 1, 2004; 61(2): 292 - 294. [Abstract] [Full Text] [PDF]
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 L. A. Scepkowski and A. Cronin-Golomb The Alien Hand: Cases, Categorizations, and Anatomical Correlates Behav Cogn Neurosci Rev, December 1, 2003; 2(4): 261 - 277. [Abstract] [PDF]
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K.-H. Jung, S.-H. Park, and G. Y. Chang Imitative arm levitation from a recurrent right thalamic hemorrhage: A case report Neurology, September 9, 2003; 61(5): 718 - 718. [Full Text] [PDF]
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J Marey-Lopez, E Rubio-Nazabal, L Alonso-Magdalena, and S Lopez-Facal Posterior alien hand syndrome after a right thalamic infarct J. Neurol. Neurosurg. Psychiatry, October 1, 2002; 73(4): 447 - 449. [Abstract] [Full Text] [PDF]
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T Bundick Jr and M Spinella Subjective experience, involuntary movement, and posterior alien hand syndrome J. Neurol. Neurosurg. Psychiatry, January 1, 2000; 68(1): 83 - 85. [Abstract] [Full Text]
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R PERSAUD;, H. AY, F. S BUONANNO, D. A LE, W. J KOROSHETZ, and B. H PRICE Sensory alien hand syndrome J. Neurol. Neurosurg. Psychiatry, July 1, 1999; 67(1): 130 - 131. [Full Text]
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