Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report
Limb pain as a presenting feature of an ischemic or hemorrhagic stroke is extremely rare. Here we present a case of a 65-year-old male with complaints of left arm pain and allodynia (specifically light touch to any part of the left arm produced significant discomfort) who was found to have a right p...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/9598675 |
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| _version_ | 1832560617545793536 |
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| author | Alan Lucerna James Espinosa Taimur Zaman Risha Hertz Douglas Stranges |
| author_facet | Alan Lucerna James Espinosa Taimur Zaman Risha Hertz Douglas Stranges |
| author_sort | Alan Lucerna |
| collection | DOAJ |
| description | Limb pain as a presenting feature of an ischemic or hemorrhagic stroke is extremely rare. Here we present a case of a 65-year-old male with complaints of left arm pain and allodynia (specifically light touch to any part of the left arm produced significant discomfort) who was found to have a right parietal lobe intraparenchymal bleed after smoking crack cocaine. Acute central pain is mainly associated with parietal, thalamic, and brainstem lesions. It has been proposed that acute limb pain from a parietal lobe stroke is due to the disconnection of the parietal cortex from the thalamus secondary to the interruption of the pathways between the hemisphere and thalamus/basal ganglia. |
| format | Article |
| id | doaj-art-b481ff12c5e54364a9a982ab06e54a70 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-b481ff12c5e54364a9a982ab06e54a702025-02-03T01:27:09ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/95986759598675Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case ReportAlan Lucerna0James Espinosa1Taimur Zaman2Risha Hertz3Douglas Stranges4Department of Emergency Medicine, Rowan University SOM/Jefferson Health, Stratford, NJ, USADepartment of Emergency Medicine, Rowan University SOM/Jefferson Health, Stratford, NJ, USADepartment of Neurology, Jefferson Health, Stratford, NJ, USAPenn Medicine, Gibbsboro, NJ, USADepartment of Emergency Medicine, Rowan University SOM/Jefferson Health, Stratford, NJ, USALimb pain as a presenting feature of an ischemic or hemorrhagic stroke is extremely rare. Here we present a case of a 65-year-old male with complaints of left arm pain and allodynia (specifically light touch to any part of the left arm produced significant discomfort) who was found to have a right parietal lobe intraparenchymal bleed after smoking crack cocaine. Acute central pain is mainly associated with parietal, thalamic, and brainstem lesions. It has been proposed that acute limb pain from a parietal lobe stroke is due to the disconnection of the parietal cortex from the thalamus secondary to the interruption of the pathways between the hemisphere and thalamus/basal ganglia.http://dx.doi.org/10.1155/2018/9598675 |
| spellingShingle | Alan Lucerna James Espinosa Taimur Zaman Risha Hertz Douglas Stranges Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report Case Reports in Neurological Medicine |
| title | Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report |
| title_full | Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report |
| title_fullStr | Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report |
| title_full_unstemmed | Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report |
| title_short | Limb Pain as Unusual Presentation of a Parietal Intraparenchymal Bleeding Associated with Crack Cocaine Use: A Case Report |
| title_sort | limb pain as unusual presentation of a parietal intraparenchymal bleeding associated with crack cocaine use a case report |
| url | http://dx.doi.org/10.1155/2018/9598675 |
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