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Wrist drop and focal seizures in a 60-year-old man
  1. Mehtab Alam,
  2. Ayaz ul Haq
  1. Department of Neurology, Lady Reading Hospital, Peshawar, Pakistan
  1. Correspondence to Dr Mehtab Alam, Department of Neurology, Lady Reading Hospital, Peshawar KP, Pakistan 25000; mehtab39{at}gmail.com

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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 …

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