Diagnostic Apraxia and Ictal Alien Hand

Alien hand is a strangely behaving hand and occurs in disease of medial frontal lobe and also corpus callosum. When it is with frontal lobe disease, it manifests as groping and hooking with either hand, but callosal lesions produce left-hand abnormalities of varying degrees. Occasionally this phenom...

Full description

Saved in:
Bibliographic Details
Published in:Indian journal of psychological medicine 2018-05, Vol.40 (3), p.284-287
Main Authors: Chandra, Sadanandvalli Retnaswami, Teja, Karu Venkata Ravi, Sheshadri, Roopa
Format: Article
Language:English
Subjects:
Activities of daily living
Anxiety
Apraxia
Callosal lesion
Care and treatment
Case Report
Conflicts of interest
diagnostic apraxia
ictal alien hand
Mental disorders
Mental health care
Neurosciences
NMR
Nuclear magnetic resonance
parietotemporal region
psychosis
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Alien hand is a strangely behaving hand and occurs in disease of medial frontal lobe and also corpus callosum. When it is with frontal lobe disease, it manifests as groping and hooking with either hand, but callosal lesions produce left-hand abnormalities of varying degrees. Occasionally this phenomenon can be transient as an ictal manifestation. Case 1 is a 20-year-old female who was on treatment for panic and anxiety for 4 years and later noticed strange action by the left hand pushing food plate and notebook when she is using them with the right hand. Case 2 is a 14-year-old boy who presented with episodes of strange situation where his left hand was pushing his right hand into his mouth, and he had no control over it. He bit his right-hand fingers, and on one episode, he was bleeding from his injured fingers, yet he felt someone is making his left hand do this. Both patients had a demonstrable structural lesion. Patients, when they have stereotyped strange behavior with limbs, need to be investigated for organic disease and initiate treatment accordingly.
ISSN:0975-1564
0253-7176
0975-1564
DOI:10.4103/IJPSYM.IJPSYM_161_17