摘要
目的探讨肢体抖动短暂性脑缺血发作(LS-TIA)的临床特点,提高临床医生对本病的认识。方法回顾性总结我科收治的4例LS-TIA患者的临床资料,4例均进行经颅多普勒超声及脑电图检查,3例进行头部核磁共振(MRI)检查,2例进行核磁血管成像(MRA)及氙CT脑血流成像,1例进行数字减影血管造影(DSA),结合相关文献进行分析及探讨。结果4例均表现为发作性短暂不自主的肢体抖动伴或不伴肢体无力,抖动肢体对侧有不同程度的血管狭窄或闭塞(包括颈内动脉、大脑中动脉及大脑前动脉),给予抗血小板聚集治疗后,症状逐渐缓解。结论发作性肢体抖动要考虑到LS-TIA的可能,其通常提示大血管严重狭窄或闭塞,经抗栓治疗有效。
Objective To study the clinical manifestations in four patients with limb shaking transient ischemic attacks （LS-TIA） in order to improve the recognition of this disorder. Methods We enrolled four patients with LS-TIA. Transcranial Doppler was performed in all patients, electroencephalography （EEG） were performed in all patients, brain magnetic resonance imaging （MRI） was performed in 3 patients,magnetic resonance angiography （MRA） and xenon CT cerebral blood flow were performed in 2 patients. Results Attacks with transient limb shaking were unilateral in all the four patients. The contralateral internal cervical artery or middle cerebral artery or anterior cerebral artery showed stenosis or occlusion in all 4 patients. The antiplatelet drugs were administered in 4 patients, and all of them showed symptomatic relief. Conclusions LS-TIA is one form of transient ischemic attacks. The patients with LS-TIA almost have severe carotid occlusive disease, and the antiplatelet drugs were effective for limb-shaking.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2008年第4期431-432,共2页
Journal of Apoplexy and Nervous Diseases
关键词
短暂性脑缺血发作
肢体抖动
血管狭窄
Transient ischemic attacks
Limb shaking
Carotid occlusive
