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Related Concept Videos

Somatosensation01:33

Somatosensation

42.0K
The somatosensory system relays sensory information from the skin, mucous membranes, limbs, and joints. Somatosensation is more familiarly known as the sense of touch. A typical somatosensory pathway includes three types of long neurons: primary, secondary, and tertiary. Primary neurons have cell bodies located near the spinal cord in groups of neurons called dorsal root ganglia. The sensory neurons of ganglia innervate designated areas of skin called dermatomes.
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Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
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Related Experiment Video

Updated: Nov 16, 2025

Structured Motor Rehabilitation After Selective Nerve Transfers
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Selective Hand Motor Cortex Lesions Masquerading as "Pseudoperipheral Nerve Palsy".

Bhaskara P Shelley1, Prakash Harishchandra2, Acharya K Devadas3

  • 1Department of Neurology, Yenepoya Medical College, Yenepoya (Deemed to Be) University, Mangalore, Karnataka, India.

Annals of Indian Academy of Neurology
|February 24, 2021
PubMed
Summary

Acute hand weakness mimicking peripheral nerve damage requires careful clinical evaluation. Central hand motor cortex lesions can present as "pseudoperipheral palsy," necessitating broader differential diagnoses beyond stroke.

Keywords:
Diffusion-weighted imagingGiant cell arteritiscerebral metastasis strokecommon carotid artery thrombosishand motor cortexhyperhomocysteinemiairon-deficiency anemiamagnetic resonance imagingprecentral hand knob areapseudomedian nerve palsypseudoperipheral palsypure motor weaknessstroke chameleonstroke masquerader

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Area of Science:

  • Neurology
  • Neuroscience
  • Clinical Medicine

Background:

  • Distinguishing acute distal upper limb pure motor weakness from peripheral nerve deficits is crucial.
  • Pseudoperipheral palsy, a rare phenotype imitating peripheral nerve damage, can arise from central hand motor cortex lesions.

Observation:

  • This study examines six patients with central hand motor cortex lesions presenting as pseudomedian, pseudoradial, or pseudoulnar nerve palsies.
  • The phenotype, previously attributed solely to cortical cerebral infarction, was observed in diverse etiologies.

Findings:

  • Etiologies included stroke, hyperhomocysteinemia, carotid artery thrombosis, iron-deficiency anemia, giant cell arteritis, cerebral metastasis, and cardiac conditions.
  • These findings expand the known causes of central hand weakness beyond ischemic stroke.

Implications:

  • Physicians must recognize the varied presentations of central hand motor cortex lesions.
  • Familiarity with these peculiar clinical presentations aids in accurate diagnosis and management of central neurological deficits affecting hand function.