A Stroke With Pride and Prejudice: A Case Report

Dyspraxia is a brain pathology that affects an individual's movement, coordination, and motor skills. It makes everyday tasks, such as writing, balancing, or playing sports, more difficult due to problems with motor skills, planning, coordination, and balance. A form of dyspraxia that mainly affects the upper limbs has been recognised as a distinct clinical entity of subcortical strokes, classified as striatocapsular infarction syndrome (SIS). In this case report, a female writer presented with a vague history of right-sided headaches and sudden onset of difficulty with fine motor tasks. She brought in a paper with her typed summary from Jane Austen's Pride and Prejudice, which revealed the disorderliness in her writing and coordination. Examination subsequently revealed visual field defects and finger-nose dyspraxia. A CT head scan confirmed an established infarction in the right parietal lobe, consistent with stroke. Some patterns of these striatocapsular strokes may pose a challenge with early recognition and require comprehensive neurological examination, in addition to relevant neuroimaging for diagnosis. Prognosis varies and is not well defined, with thromboembolic infarction being a common denominator in complications.