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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(3):345-348.
Striatal Hand in Traumatic Brain Injury: A case report.
Do, Hyun Kyung , Kim, Dong Gun , Jung, Kyu Young , Kim, Hyun Dong
Department of Physical Medicine and Rehabilitation, Busan Paik Hospital, Inje University College of Medicine, Korea. cool0023@hanmail.net
외상성 뇌손상 환자에서 발생한 Striatal Hand-증례 보고-
도현경, 김동건, 정규영, 김현동
인제대학교 의과대학 부산백병원 재활의학교실
Striatal hand is characterized by flexion in metacarpopharyngeal (MCP) joints and hyperextension in proximal interphalangial (PIP) joints and flexion in distal interphalangeal (DIP) joint. In clinical practice, this problem is often overlooked or misdiagnosed as rheumatoid arthritis and the opportunity for an early diagnosis and a correct management of the patient's is missed. In this report, a case with striatal hand following traumatic brain injury (TBI) without cardinal Parkinsonian signs is presented, and the differential diagnosis of the disease is discussed. A-62-year-old man presented with hemiplegia subsequent to traumatic brain injury. During the last two years, "swan neck" deformity of the hands occurred. We could diagnose this case as striatial hand with exclusion of similar rheumatologic causes by careful study and its characteristic deformity pattern. Clinician should consider the possibility of striatal hand when the patient with TBI presents swan neck deformity for an early diagnosis and a correct management. (J Korean Acad Rehab Med 2008; 32: 345-348)
Key Words: Striatal hand, Traumatic brain injury, Parkinson's disease


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