A Less Frequent Etiology of Limb Shaking Syndrome: A Severe Middle Cerebral Artery Stenosis.
Diagnostic Errors
Epilepsy
/ diagnosis
Humans
Hypolipidemic Agents
/ therapeutic use
Infarction, Middle Cerebral Artery
/ complications
Ischemic Attack, Transient
/ complications
Male
Middle Aged
Platelet Aggregation Inhibitors
/ therapeutic use
Recurrence
Syndrome
Treatment Outcome
Tremor
/ diagnosis
Focal seizures
Intracranial stenosis
Limb Shaking Syndrome
Transient ischemic attack
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
16
10
2020
revised:
15
01
2021
accepted:
16
01
2021
pubmed:
27
1
2021
medline:
24
3
2021
entrez:
26
1
2021
Statut:
ppublish
Résumé
Limb Shaking Syndrome (LSS) is usually associated with internal carotid occlusion. There are few reported-cases in context of middle cerebral artery stenosis. We presented LSS in a patient with middle cerebral artery stenosis disease. The patient was a 62-year-old man, smoker, with high blood pressure who suffered left hemifacial and limbs myoclonus. He was initially diagnosed with focal seizures and he started antiepileptic treatment. However, he repeated the episodes. The electroencephalogram showed no abnormalities, and a vascular study with ultrasounds and angio-MRI evidenced severe middle cerebral stenosis. Finally, a diagnosis of Limb Shaking Syndrome was established and he started antiplatelet and high dose lipid-lowering treatment. Not all abnormal movements are due to epileptic seizures. When we evaluate a patient with vascular risk factors it is important to perform a complete vascular study to discard not only critical carotid stenosis but also intracranial disease.
Sections du résumé
BACKGROUND
BACKGROUND
Limb Shaking Syndrome (LSS) is usually associated with internal carotid occlusion. There are few reported-cases in context of middle cerebral artery stenosis.
METHODS
METHODS
We presented LSS in a patient with middle cerebral artery stenosis disease.
RESULTS
RESULTS
The patient was a 62-year-old man, smoker, with high blood pressure who suffered left hemifacial and limbs myoclonus. He was initially diagnosed with focal seizures and he started antiepileptic treatment. However, he repeated the episodes. The electroencephalogram showed no abnormalities, and a vascular study with ultrasounds and angio-MRI evidenced severe middle cerebral stenosis. Finally, a diagnosis of Limb Shaking Syndrome was established and he started antiplatelet and high dose lipid-lowering treatment.
CONCLUSION
CONCLUSIONS
Not all abnormal movements are due to epileptic seizures. When we evaluate a patient with vascular risk factors it is important to perform a complete vascular study to discard not only critical carotid stenosis but also intracranial disease.
Identifiants
pubmed: 33497937
pii: S1052-3057(21)00031-8
doi: 10.1016/j.jstrokecerebrovasdis.2021.105629
pii:
doi:
Substances chimiques
Hypolipidemic Agents
0
Platelet Aggregation Inhibitors
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
105629Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.