Post-stroke movement disorders (PSMD) are relatively rare, occurring in 1% to 4% of all strokes [1]. Alajouanine-Akerman's syndrome (AAS) was described in 1931 in a multiple sclerosis (MS) patient who presented with instability of hand position in the oath posture, sensory ataxia, astereognosis, and deep sensory ipsilateral impairment [2].

Although AAS is not topography-specific, we emphasize the importance of recognizing PSMD patterns in the acute phase of stroke for initial assessment.