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Journal of Korean Neurosurgical Society 2007;41(5): 333-335.
Cortical Stroke in Parietal Lobe Misdiagnosed as Carpal Tunnel Syndrome.
Seok Won Kim, Chang Il Ju
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. chosunns@hanmail.net
ABSTRACT
A 56-year-old woman presented with the numbness and pain in the left hand in the 1st, 2nd and 3rd finger area that developed suddenly 7 days prior to admission. In nerve conduction velocity test, the deterioration of nerve conduction velocity as well as the reduction of the potential amplitude were detected. After diagnosis of carpal tunnel syndrome, the open median nerve release was performed. Nonetheless, the preoperative symptoms did not change. The magnetic resonance images (MRI) of brain revealed a cerebral infarction in sensoricortical area of parietal lobe. The patient was referred to the department of neurology, and after conservative treatment, her symptoms were improved.
Key Words: Cortical stroke; Carpal tunnel syndrome; MRI
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