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Micrographia due to focal cerebral lesions as Seen in the dysarthria-clumsy hand syndrome

Department of Neurology, Kyushu-Kosei-Nenkin Hospital, Kitakyushu, Fukuoka, Japan.

Five patients with dysarthria-clumsy hand syndrome developed micrographia. Four had lacunar infarctions involving the putamen or the genu of the internal capsule; the fifth patient had a small hemorrhage in the putamen. Micrographia may be a sign of focal cerebral disease, and basal ganglia dysfunction may be involved in the supratentorial dysarthria-clumsy hand syndrome.

Address correspondence and reprint requests to Dr. Shousaku Noda, Department of Neurology, Kyushu-Kosei-Nenkin Hospital, 2-1-1, Kishinoura, Yahata-Nishiku, Kitakyushu, 806, Fukuoka, Japan.

Received June 1, 1993. Accepted for publication in final form July 15, 1993.

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