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Published on: November 22, 2024
Extensive callosal infarction showing difficulty in knitting as an initial symptom
Keisuke Suzuki1, Yoshiteru Takiguchi, Tomoyuki Miyamoto
1Department of Internal Medicine, Dokkyo Medical University Koshigaya Hospital, Koshigaya. keisuke@dokkyomed.ac.jp
Internal Medicine (Tokyo, Japan)
|August 2, 2008
Summary
Difficulty in knitting may signal early callosal disconnection syndrome. This case highlights the importance of clinical and imaging follow-up for diagnosing corpus callosum infarction.
Area of Science:
- Neurology
- Neuroimaging
- Vascular Neurology
Background:
- Corpus callosum lesions can present with diverse neurological deficits.
- Early identification of callosal disconnection syndromes is crucial for timely intervention.
Observation:
- A 66-year-old woman with type 2 diabetes presented with progressive dysarthria and gait disturbance.
- Initial symptom was difficulty with fine motor tasks like knitting, preceding other deficits.
- Brain MRI revealed a lesion spanning the entire corpus callosum.
Findings:
- Despite atypical imaging raising suspicion for tumor, the diagnosis was infarction.
- Clinical improvement and sequential MRI changes supported the infarction diagnosis.
- The case suggests knitting difficulty as a potential early sign of callosal disconnection.
Implications:
- Difficulty in knitting may represent an early, subtle manifestation of callosal disconnection.
- This finding underscores the value of thorough clinical evaluation and serial neuroimaging.
- Recognizing such early signs can aid in the prompt diagnosis and management of corpus callosum infarction.
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