Isolated monoparesis is a rare symptom in stroke patients. Monoparesis of upper limb is reported in less than 1% of cases .Here we present a case of isolated monoparesis with both diabetes and hypertension, identified at the earliest by DWI and started on antiplatelets, antihypertensive and good glycemic control and weakness improved to the maximum in a duration of one week .

Keywords: isolated monoparesis, ischemic stroke, hypertension, diabetes

1. Van Melle Julien Bogousslavsky MM-IG. Pure Monoparesis A Particular Stroke Subgroup?;Arch Neurol.Aug 2005;62:1221-1224.
2. M Paciaroni, V Caso, P Milia, M Venti, G Silvestrelli, F Palmerini, K Nardi, S Micheli, G Agnelli. Isolated monoparesis following stroke. J Neurol Neurosurg Psychiatry 2005; 76:805–807. doi: 10.1136/jnnp.2004.047779.
3. Eliacik S. Ischemic Stroke and Monoparesis. 2018 Jul 9;6-Issue 4: 2018. Available from:http://dx.doi.org/10.26717/BJSTR.2018.06.001371
4. Kumar, Sudhir & Kaul, subhash. (2017). Approach to a patient with monoplegia and hemiplegia.
5. Hand Monoparesis Due to Small Cortical Ischemic Stroke, Etiology, Prognosis and Medical Management: Case Report and Literature Review. 2013;4(6):429–32.
6. Maeder-Ingvar M, van Melle G, Bogousslavsky J. Pure Monoparesis: A Particular Stroke Subgroup? Arch Neurol. 2005;62(8):1221–1224. doi:10.1001/archneur.62.8.1221

Dr Deepsheeka.G

Post Graduate, Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital