# 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.

## Key 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.