Striatal Hand

Yin Xia Chao^1,2 and Eng-King Tan^1,2,3*

¹National Neuroscience Institute

²DUKE-NUS Graduate Medical School

³Department of Neurology, Singapore General Hospital

Corresponding Author:

Eng-King Tan
Department of Neurology
Singapore General Hospital
Singapore 169108
Tel: 65 6326 5003
E-mail: tan.eng.king@sgh.com.sg

Received date: September 16, 2015; Accepted date: September 18, 2015; Published date: September 25, 2015

Citation: Chao YX, Tan EK (2015) Striatal Hand. J Alzheimers Dis Parkinsonism 5: i102.doi:10.4172/2161-0460.1000i102

Copyright: © 2015 Chao YX, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Keywords

Parkinson’s disease; Motor fluctuation; Physical therapy; Metacarpophalangeal joints

An elderly man with Parkinson’s disease developed progressive hand deformity bilaterally despite optimal treatment with dopaminergic medications. He developed “striatal hand” deformity characterized by flexion of the metacarpophalangeal joints, extension of the proximal interphalangeal joints and flexion of the distal interphalangeal joints (Figure 1). No ulnar deviation was present. He subsequently underwent bilateral sub thalamic deep brain stimulation surgery with improvement on his “on” time and motor fluctuation. However, there was no improvement of his hand deformity. Symptomatic treatment and physical therapy are important to prevent fixed hand deformity and its associated complications.

Figure 1: Striatal hand in a patient with Parkinson’s disease.

Acknowledgement

We would like to thank National Medical Research Council for their support.