There is, understandably, very little evidence to guide the treatment of rare stroke syndromes, such as those expanded on the slide.1 Patient management starts with a pragmatic, common-sense approach, e.g., modifying the living environment of a patient with alien hand syndrome to remove distractors and reduce the risk of self-injury, and maintaining patients with Ondine’s syndrome on mechanical ventilation during sleep.1
References:
1. Balami JS, Chen RL, Buchan AM. Stroke syndromes and clinical management. QJM 2013; 106 (7): 607–615.
2. Panikkath R, Panikkath D, Mojumder D, Nugent K. The alien hand syndrome. Proc (Bayl Univ Med Cent) 2014; 27 (3): 219–220.
3. Haig AJ, Katz RT, Sahgal V. Mortality and complications of the locked-in syndrome. Arch Phys Med Rehabil 1987; 68 (1): 24–27.