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PMID- 29390431
OWN - NLM
STAT- MEDLINE
DCOM- 20180213
LR  - 20180213
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Limb-kinetic apraxia in a patient with mild traumatic brain injury: A case
      report.
PG  - e9008
LID - 10.1097/MD.0000000000009008 [doi]
AB  - RATIONALE: We report on a patient who developed limb-kinetic apraxia (LKA) due to
      an injured corticofugal tract (CFT) from the secondary motor area following mild 
      traumatic brain injury (TBI), demonstrated on diffusion tensor tractography
      (DTT). PATIENT CONCERNS: She was struck in the right leg by a sedan at a
      crosswalk and fell to the ground. She lost consciousness and experienced
      post-traumatic amnesia for approximately ten minutes. She was obliged to wear a
      cast for a left humerus fracture for two months, and she found she could not move
      her left hand quickly with intention after removal of the cast; consequently her 
      left hand was almost non-functional. When she visited the rehabilitation
      department of a university hospital two years after the crash, she had mild
      weakness of the left upper extremity (manual muscle test: 4/5). However, the
      movements of the left hand were slow, clumsy, and mutilated when executing
      grasp-release movements of her left hand. DIAGNOSES: A 44-year-old female
      suffered head trauma resulting from a pedestrian car accident. INTERVENTIONS:
      When she extended all her left fingers, it took approximately eight seconds at
      her fastest speed to perform the pattern extending from the thumb to little
      finger sequentially. OUTCOMES: On two-year DTT, narrowing and partial tearing was
      observed in the right supplementary motor area (SMA)-CFT. LESSONS: Injury of the 
      right SMA-CFT was demonstrated in a patient with LKA in a hand following mild
      TBI. Our results stress the need to evaluate the CFTs from the secondary motor
      area for patients with unexplained motor execution problems following mild TBI.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Jang, Sung Ho
AU  - Jang SH
AD  - Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam
      University.
FAU - Seo, Jeong Pyo
AU  - Seo JP
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Ataxia/complications/*diagnosis/diagnostic imaging
MH  - Brain Injuries, Traumatic/*complications
MH  - Diagnosis, Differential
MH  - Diffusion Tensor Imaging
MH  - Female
MH  - Humans
MH  - Injury Severity Score
MH  - Motor Cortex/*injuries
PMC - PMC5758133
EDAT- 2018/02/03 06:00
MHDA- 2018/02/14 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/14 06:00 [medline]
AID - 10.1097/MD.0000000000009008 [doi]
AID - 00005792-201712220-00018 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9008. doi: 10.1097/MD.0000000000009008.