Putaminal hemorrhage presenting as dysarthria-clumsy hand syndrome

A patient with chronic hypertension presented clinically with the dysarthria--clumsy hand syndrome. A CT scan demonstrated putaminal hemorrhage sparing the internal capsule. This case provides additional evidence that lacunar syndromes may not be due to lacunar infarction. The localization of dysarthria--clumsy hand appears similar to that of ataxic hemiparesis.