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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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