Alien Limb Syndrome on Physical Exam Elderly lady with Parkinsonism (PSP) c/o left leg rising up spontaneously when she sits and prays. She has to consciously force it back down ↓ Mild elevation of left leg. Alien hand >>> leg. Left right sided limb involvement ratio 73:27% Simplified; 3 types of Alien limb phenomenon: 1) Anterior ‘Frontal’ Motor type- abnormal movements occur without the patient initiating or controlling it 2 )Posterior, Parietal “sensory” type-a subjective feeling that the hand does not belong to them and is foreign 3) Midline ‘Callosal’ type, Conflict type- where one hand interferes with movements of the contralateral hand Dr. Boby Varkey Maramattom @bobvarkey #Alien #Limb #Syndrome #PhysicalExam #clinical #video #leg #neurology
