Clinical Practice and Cases in Emergency Medicine

Introduction: 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.

Case Report: 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.

Conclusion: This case report describes a patient with dysarthria-clumsy hand syndrome, due to a lesion in the caudate nucleus and the internal capsule