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- cerebrovascular disease/stroke
- clinical neurology examination
- Partial seizures
- peripheral neuropathy
- pseduo-radial nerve palsy
A 60-year-old man presented with a 5-day history of left-hand weakness and focal seizures. On examination, he had wrist and fingers drop with brisk reflexes in the left upper limb and intact sensation. On asking to firmly clench his fist, there was synkinetic wrist extension and flexion at the elbow joint (online supplementary video 1 and figure 1). MRI brain showed restricted diffusion in the right precentral gyrus, suggestive of ischaemic stroke (figure 2).
Contributors MA: initial drafting of the manuscript. AuH: revised and finalised the final draft.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Ethics approval Research & Publication Ethical Committee.
Provenance and peer review Not commissioned; externally peer reviewed.
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