The dysarthria—clumsy hand syndrome: A distinct clinical entity related to pontine infarction
- 1 May 1990
- journal article
- research article
- Published by Wiley in Annals of Neurology
- Vol. 27 (5), 487-494
- https://doi.org/10.1002/ana.410270506
Abstract
Using magnetic resonance imaging, we studied 6 patients with the dysarthria–clumsy hand syndrome. All were found to have pontine infarctions contralateral to the symptomatic side. Clinically, these patients exhibited dysarthria; “clumsiness,” characterized by dysmetria, dysrhythmia, dysdiadochokinesia and sometimes truncal and gait ataxia; and mild ipsilateral weakness. Previous clinical‐anatomical correlations for this syndrome are limited by inconsistencies in clinical diagnostic criteria and low‐resolution imaging methods. In our patients, and in a review of the literature, the overwhelming majority of patients with the dysarthria–clumsy hand syndrome had pontine infarcts. We conclude that if rigid clinical criteria are used, the label of the dysarthria–clumsy hand syndrome predicts a lesion in the contralateral basis pontis.This publication has 40 references indexed in Scilit:
- Evolution and testing of the lacunar hypothesis.Stroke, 1988
- Homolateral Ataxia and Crural ParesisArchives of Neurology, 1983
- Ataxic hemiparesis in patients with primary pontine hemorrhage.Stroke, 1983
- Ataxic Hemiparesis From Lesions of the Corona RadiataArchives of Neurology, 1983
- Lacunar strokes and infarctsNeurology, 1982
- Pontine hemorrhage presenting as ataxic hemiparesis.Stroke, 1982
- Ataxic hemiparesis with trigeminal weaknessNeurology, 1981
- Ataxic HemiparesisArchives of Neurology, 1978
- A lacunar strokeNeurology, 1967
- Homolateral ataxia and crural paresis: A vascular syndromeJournal of Neurology, Neurosurgery & Psychiatry, 1965