Hand Knob Area Infarct Following Primary Percutaneous Coronary Intervention: A Case Report

Hand Knob Area Infarct Following Primary Percutaneous Coronary Intervention: A Case Report

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Percutaneous coronary intervention (PCI) is a common procedure following an acute myocardial infarction.Periprocedural stroke is a rare but life-threatening complication.Among these hand knob area infarctions are rarely encountered.Interestingly, the clinical presentation of these patients mimic a peripheral nerve injury making it a diagnostic challenge.

We report a 57-year-old gentleman Eggplant who noticed finger drop with hand muscle weakness of the right upper limb immediately following PCI which was carried out via a radial arterial puncture.Brain imaging revealed an infarction involving the hand knob area and he was Cabinet treated with antiplatelets, statins and physiotherapy.This case highlights the importance of having a high degree of suspicion for the diagnosis of a hand knob area infarction when a patient present with a clinical presentation suggestive of a radial nerve palsy.