Pseudo-peripheral paralysis: keys in its semiological identification
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Keywords

differential diagnosis
motor cortex
palsy
stroke (MeSH)

Abstract

Pseudo-peripheral palsy is an infrequent presentation of ischemic stroke, which often leads to a misdiagnosis of peripheral nerve pathology. It is characterized by palsy of the hand or a group of fingers and altered sensitivity which can simulate peripheral nerve damage. We report a case of a patient who had pseudo-peripheral palsy with predominantly ulnar motor involvement, associated with multimodal hypoesthesia in the hypothenar region; illustrating the difficulty of topographic localization to explain motor and sensory involvement by a mononeuropathic, radicular or spinal syndrome. We highlight the importance of an adequate semiological evaluation to accurately diagnose and manage these pathologies.

https://doi.org/10.22379/24224022231

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