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Hermann Oppenheim described the "Useless Hand" in 1911 as a classical but uncommon presentation of multiple sclerosis, in which a hand loses useful function due to proprioceptive loss, with relatively preserved motor function. Light touch perception may be subjectively altered or can be relatively intact. The lesion is (usually) a demyelinating plaque in the posterior columns of the cervical spinal cord. Depending on its location, it may affect one limb, or if more central, may produce a bilateral (if asymmetrical) picture. |
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ataxia,sensory
dexterity,impaired
differential diagnosis
fine motor function,impaired
hyperreflexia
imbalance
MRI,abnormal
MRI,spinal cord
multiple sclerosis
position sensation
posterior column disease
prognosis
proprioception
pseudoathetosis
sensory loss
spinal cord,lesion of
tandem gait,ataxic
useless hand
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