Turkish Journal of Physical Medicine and Rehabilitation 2022 , Vol 68 , Num 4

Ischemic stroke cases presenting with hand weakness mimicking peripheral neuropathy

Gulin Morkavuk 1 ,Kübra Işık 1 ,Zeki Odabaşı 2
1 Department of Neurology, Ufuk University Faculty of Medicine, Ankara, Türkiye
2 Department of Neurology, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Türkiye
DOI : 10.5606/tftrd.2022.8570 Pure motor monoparesis due to ischemic stroke involving a single extremity is a rare condition that can be easily misdiagnosed. Herein, we present three cases with isolated upper extremity monoparesis. All of our patients had weakness in the left hand. They were previously evaluated in other centers and were diagnosed with peripheral neuropathy by electromyography. When patients whose complaints did not resolve were admitted to our clinic, we performed electromyography again and observed that it was normal. Hereupon, we detected ischemic infarctions in cranial magnetic resonance imaging that would explain the patients' complaints. Isolated monoparesis mimicking peripheral neuropathy is a rare symptom in stroke patients. Pure motor monoparesis should be kept in mind in every patient presenting with acute-isolated monoparesis, and neuroradiological imaging should be performed. Keywords : Hand weakness, ischemic stroke, lacunar infarct, peripheral neuropathy, pure motor monoparesis