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Yin Xia Chao1,2 and Eng-King Tan1,2,3*
1National Neuroscience Institute
2DUKE-NUS Graduate Medical School
3Department of Neurology, Singapore General Hospital
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.
Visit for more related articles at Journal of Alzheimers Disease & Parkinsonism
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.
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