Dysarthria-Clumsy Hand Syndrome in a Patient with a Caudate Nucleus Stroke: A Case Report

TL;DR

A 52-year-old man developed speech and hand coordination issues after a stroke in the caudate nucleus, a rare but documented cause of dysarthria-clumsy hand syndrome.

Contribution

This case adds to the limited literature on DCHS caused by caudate nucleus strokes, emphasizing its rarity and diagnostic importance.

Findings

The patient exhibited dysarthria and clumsy hand movements following a stroke in the right caudate nucleus.

MRI confirmed an isolated infarct in the caudate nucleus and internal capsule.

This case highlights the association between caudate lesions and DCHS.

Abstract

Dysarthria-clumsy hand syndrome (DCHS) is a rare finding reported in lacunar strokes. Lesions in various anatomic locations have been reported. While the association of DCHS with a caudate nucleus lesion has been documented, such reports remain infrequent.

In this case we present a 52-year-old male who presented with DCHS following a stroke affecting the caudate nucleus. Neurological examination revealed left-sided motor deficits. Magnetic resonance imaging confirmed an isolated infarct in the right caudate nucleus.

This case report describes a patient with dysarthria-clumsy hand syndrome, due to a lesion in the caudate nucleus and the internal capsule.

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