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A 64-year-old woman with history of migraine with aura, presented 11 hours after developing sudden-onset right hand weakness (noted as difficulty holding objects). On examination, there was moderate weakness of flexor of the third, fourth and fifth fingers with normal reflexes, the rest of the examination was normal. MR scan of brain showed an acute ischaemic injury of the ‘hand knob’ of the left precentral gyrus (figure …
Contributors SACT (clinical neurology resident) contributed with conception and design of the manuscript, acquisition of data and review of the relevant literature. RR-G and BEC-L (experienced neurologists) contributed with the editing of the manuscript, review for intellectually relevant content, and with an insight of the teaching points of the case.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed by Hugh Markus, Cambridge, UK.