{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T09:23:02Z","timestamp":1769160182900,"version":"3.49.0"},"reference-count":0,"publisher":"Journal of Nepal Medical Association (JNMA)","issue":"293","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Nepal Med Assoc"],"abstract":"<jats:p>Isolated wrist drop as a presentation of stroke is uncommon and may pose a diagnostic dilemma. We present a case of a 65-year-old man with hypertension and diabetes who presented with sudden-onset weakness of the left hand and inability to extend fingers, without any other focal neurological deficits. Non- contrast computed tomography of the head was normal. However, diffusion- weighted magnetic resonance imaging of the brain revealed an acute ischemic infarct involving the right frontoparietal and occipital lobes. A diagnosis of isolated left-sided wrist drop secondary to acute ischemic stroke was made. The patient showed clinical improvement with antiplatelet and statin therapy, along with physiotherapy, on follow-up. Although rare, isolated wrist drop may be a manifestation of stroke, and clinicians must remain vigilant to avoid diagnostic delays and to administer appropriate treatment in a timely manner.<\/jats:p>","DOI":"10.31729\/jnma.v64i293.9281","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T18:05:50Z","timestamp":1767204350000},"page":"47-49","source":"Crossref","is-referenced-by-count":0,"title":["When Stroke Mimics Peripheral Nerve Injury: A Rare Case Report of Isolated Wrist Drop"],"prefix":"10.31729","volume":"64","author":[{"given":"Tai Anjuk","family":"Lama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Himal","family":"Karki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kishor","family":"Khadka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabindra","family":"Raj Pandey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bibek","family":"Rajbhandari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16919","published-online":{"date-parts":[[2025,12,31]]},"container-title":["Journal of Nepal Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jnma.com.np\/jnma\/index.php\/jnma\/article\/download\/9281\/5693","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jnma.com.np\/jnma\/index.php\/jnma\/article\/download\/9281\/5693","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:19:35Z","timestamp":1769105975000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnma.com.np\/jnma\/index.php\/jnma\/article\/view\/9281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,31]]},"references-count":0,"journal-issue":{"issue":"293","published-online":{"date-parts":[[2025,12,31]]}},"URL":"https:\/\/doi.org\/10.31729\/jnma.v64i293.9281","relation":{},"ISSN":["1815-672X","0028-2715"],"issn-type":[{"value":"1815-672X","type":"electronic"},{"value":"0028-2715","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,31]]}}}