Brain Glitch Spurs Alien Hand Syndrome
'Rare and Distressing' Condition Causes Hand to Move Involuntarily
July 17, 2007 -- Scientists have new clues about the roots of an unusual
condition called alien hand syndrome.
In alien hand syndrome, the patient's hand moves involuntarily, sometimes
forcing the patient to "use their healthy hand to restrain the alien hand's
actions," Swiss doctors report in today's early online edition of the
Annals of Neurology.
Alien hand syndrome is "rare and distressing," write the doctors,
who include Frederic Assal, MD, of the department of clinical neurosciences at
University Hospital in Geneva, Switzerland.
Assal and colleagues studied a 70-year-old man who developed alien hand
syndrome after suffering a stroke.
Alien hand syndrome affected the man's left hand. The stroke also affected
his vision on the left side of his body, so he sometimes didn't know what his
left hand was doing.
"For instance," write the doctors, "his left hand could grasp
and manipulate parts of clothes or objects, even tear them into pieces, while
the patient was [sitting] in his armchair and unaware of these involuntary
Alien Hand Syndrome Brain Scan
Assal's team scanned the man's brain using functional magnetic resonance
imaging (fMRI). The brain scans were done while the man's arms and forearms
were strapped down, out of the man's sight, while he was resting or while he
deliberately moved his right or left hand.
While the man deliberately moved his right or left hand, the brain scans
showed activity in several brain areas.
But while the man rested, the fingers on his left hand flexed and relaxed
slowly and repetitively. Those were involuntary movements, according to Assal's
During those alien hand movements, the brain scans only showed activity on
the right side of the brain in an area called the motor cortex.
Voluntary movements involve the motor cortex, but they also engage other
parts of the brain, the doctors note.
Assal and colleagues didn't study any other people with alien hand syndrome,
so it's not clear if this particular patient represents all people with alien
However, the doctors note that their findings may shed new light on the
brain's control of voluntary and involuntary motions.