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Rehabilitation Practice and Science

Translated Title

他人之手症候群：六例報告及文獻回顧

Abstract

The alien hand syndrome was diagnosed in six stroke patients treated in our hospital during the period from 1993 to 1998. Left cerebral artery occlusion was responsible for the stroke episode in five patients and hydrocephalus subsequent to intracerebral hemorrhage in one patient. All of the patients were right handed and exhibited behavior of forced grasping and impulsive groping, with their dominant hand, of objects entering their field of vision. The patients also exhibited unilateral involuntary handling and utilization of familiar objects and compulsive manipulation of tools with their dominant hand and restrain of the dominant hand with their contralateral hand. These patients all showed lack of conscious awareness of these behaviors.During the acute stage of brain damage in stroke, the reduction in patients’ cerebral function and limitations in the activity of the limbs may obscure the classic symptoms of the alien hand syndrome. However, the symptoms of the alien hand syndrome become more noticeable during the rehabilitation period. This report seeks to call this syndrome to the attention of fellow physiatrists in order to facilitate the use of appropriate measures to handle such special behavior and avoid its interference with patients’ rehabilitation.

Language

Traditional Chinese

First Page

117

Last Page

123

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