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Limb Misidentification: A Clinical-Anatomical Prospective Study.

Daniel Antoniello¹, Reena Gottesman¹

¹From the Montefiore Hospital/Albert Einstein College of Medicine, Bronx, N.Y. (DA, RG).

The Journal of Neuropsychiatry and Clinical Neurosciences

|March 29, 2017

Summary

This summary is machine-generated.

Limb misidentification after stroke is common and temporary, affecting 61% of patients initially. Damage to the supramarginal gyrus is linked to this phenomenon, highlighting the importance of timely assessment.

Keywords:

Asomatognosia Neglect Neuroanatomy Somatoparaphrenia Stroke and Other Cerebral Vascular Disease (Neuropsychiatric Aspects)

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Area of Science:

Neuroscience
Neurology
Stroke Research

Background:

Limb misidentification (LM) is a rare neurological symptom following brain injury.
The underlying mechanisms and prevalence of LM, particularly after right hemisphere stroke, remain unclear.

Purpose of the Study:

To investigate the natural history and anatomical correlates of LM in patients with acute right middle cerebral artery infarct.
To emphasize the importance of rapid clinical assessment in understanding transient neurological disorders.

Main Methods:

Prospective study of 36 patients with hyperacute right middle cerebral artery infarct.
Prioritized rapid clinical assessment for LM.
Utilized voxel-based lesion-symptom mapping to correlate brain lesions with LM.

Main Results:

Limb misidentification (LM) was observed in 61% of patients at symptom onset.
LM was transient, decreasing to 15% by 1 week.
Damage to the supramarginal gyrus (SMG) was significantly associated with LM.

Conclusions:

Limb misidentification (LM) is a common yet transient symptom after right hemisphere stroke.
Supramarginal gyrus (SMG) integrity is crucial for accurate limb representation.
Rapid assessment is vital for accurately diagnosing and analyzing transient neurological deficits like LM.