| Autor: |
N. T. Weerasinghe, R. C. Palliyaguruge, U. G. C. Kumara, W. G. N. M. Weerasinghe, L. K. Dissanayake, H. L. Hordagoda, P. J. P. Peiris |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Sri Lanka Journal of Medicine, Vol 33, Iss 2, Pp 50–52-50–52 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2579-1990 |
| DOI: |
10.4038/sljm.v33i2.483 |
| Popis: |
Percutaneous coronary intervention (PCI) is a common procedure following an acute myocardial infarction. Periprocedural stroke is a rare but life-threatening complication. Among these hand knob area infarctions are rarely encountered. Interestingly, the clinical presentation of these patients mimic a peripheral nerve injury making it a diagnostic challenge. We report a 57-year-old gentleman who noticed finger drop with hand muscle weakness of the right upper limb immediately following PCI which was carried out via a radial arterial puncture. Brain imaging revealed an infarction involving the hand knob area and he was treated with antiplatelets, statins and physiotherapy. This case highlights the importance of having a high degree of suspicion for the diagnosis of a hand knob area infarction when a patient present with a clinical presentation suggestive of a radial nerve palsy. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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