Abstract

PERALTA URIBE, José Luis; VELASCO MARQUEZ, Mario; OCAMPO NAVIA, Maria Isabel  and  CORAL CASAS, Juliana. Pseudo-peripheral paralysis: keys in its semiological identification. Acta Neurol Colomb. [online]. 2019, vol.35, n.1, pp.36-39. ISSN 0120-8748.  https://doi.org/10.22379/24224022231.

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.

Keywords : differential diagnosis; motor cortex; palsy; stroke (MeSH).

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