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School of Medicine >
Department of Neurology >
Medical Student Cases and Questions >
The Man Who Could Not Shake Hands
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A 54 yo BM with a history of hpertension and coronary artery disease came to the
ER with a mild right hemiparesis and motor aphasia. A neurology consultant was
called and noted that the patient was having an unusual difficulty with his left
upper extremity. The patient could not squeeze the examiner's fingers with his
left hand when asked. He could not perform coordinated movements with the left
upper extremity when asked, although he could with his weaker right side. The
consultant noticed the patient was moving his left upper extremity spontaneously
without difficulty. In fact, the patient could not shake hands or salute with
his left hand when asked to do so, but he shook hands spontaneously when the consultant
left the room.
Questions:
- What could be wrong with the pt's left upper extremity?
- Define apraxia.
- What are five types of apraxia?
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