Limb Shaking Transient Ischemic Attacks with Normal Neurovascular Ultrasound may Herald Cardioembolic Stroke: A Case Report

Emanuele Bartolini; Alessandro Napolitano; Monica Mazzoni

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Limb Shaking Transient Ischemic Attacks with Normal Neurovascular Ultrasound may Herald Cardioembolic Stroke: A Case Report

机译：肢体震动短暂性缺血性攻击与正常的神经血管超声可能是先驱的心脏栓塞行程：案例报告

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Our objective is to highlight that the rare occurrence of limb shaking in transient ischemic attacks may be underpinned by etiologies other than critical internal carotid stenosis/occlusion. We describe a 74 year-old woman with abrupt left arm jerking and normal urgent computed tomography scan, electroencephalography (EEG) as well as carotid and transcranial ultrasound. Two days later she developed an overt ischemic stroke, with left mesencephalon and left cerebellar hemisphere lesions at brain magnetic resonance imaging and paroxysmal atrial fibrillation at Holter-EKG. Transient ischemic attacks should be considered in the differential diagnosis of limb shaking even in patients with normal carotid and transcranial ultrasonography.

机译：我们的目的是强调，短暂性脑缺血发作中罕见的肢体颤抖可能是由严重颈内动脉狭窄/闭塞以外的病因造成的。我们描述一名74岁女性，突然左臂抽搐，紧急计算机断层扫描、脑电图（EEG）以及颈动脉和经颅多普勒超声正常。两天后，她出现了明显的缺血性中风，脑部磁共振成像显示左中脑和左小脑半球病变，动态心电图显示阵发性心房颤动。即使颈动脉和经颅多普勒超声正常的患者，在肢体颤抖的鉴别诊断中也应考虑短暂性脑缺血发作。

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来源
《Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association》 |2018年第10期|共2页
作者
Emanuele Bartolini; Alessandro Napolitano; Monica Mazzoni;
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作者单位

Neurology Unit San Luca Hospital USL Nordovest Toscana;

Neurology Unit San Luca Hospital USL Nordovest Toscana;

Neurology Unit San Luca Hospital USL Nordovest Toscana;

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原文格式 PDF
正文语种 eng
中图分类神经病学与精神病学;
关键词
Stroke—movement disorders—MRI—clonic—neurosonology;

机译：中风运动障碍MRI阵挛神经学;

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1. Association between clinical features and prognosis of patients with limb-shaking transient ischemic attack [J] . MA Qing-feng, HUANG Qiang, ZHANG Qian, 中华医学杂志（英文版） . 2013,第022期
2. Does clopidogrel with aspirin after acute minor stroke or transient ischemic attack increase the risk of cerebral hemorrhage? [J] . Zheng Haiping, Chen Chunli, Hu Zhiping, 中华医学杂志（英文版） . 2014,第018期
3. A case report of anti-N-methyl-d-aspartate receptor autoimmune encephalitis with sensory attack. Is limbic encephalitis only"limbic"? [J] . Sheng Chen, Xiao-Jie Zhang, Meng-Sha Yao, 神经免疫与神经炎症（英文版） . 2017,第005期
4. A case report of anti-N-methyl-d-aspartate receptor autoimmune encephalitis with sensory attack. Is limbic encephalitis only''''limbic''''? [J] . Sheng Chen1, Xiao-Jie Zhang2, Meng-Sha Yao1, 神经免疫与神经炎症(英文版) . 2017,第005期
5. Limb Shaking Transient Ischemic Attacks with Normal Neurovascular Ultrasound may Herald Cardioembolic Stroke: A Case Report [J] . Emanuele Bartolini, Alessandro Napolitano, Monica Mazzoni Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association . 2018,第10期

机译：肢体震动短暂性缺血性攻击与正常的神经血管超声可能是先驱的心脏栓塞行程：案例报告
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机译：成人PHACE综合征的肢体短暂性短暂性脑缺血发作：一例病例报告并文献复习
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机译：与局灶性脑电图检查相关的肢体短暂性短暂性脑缺血发作：病例报告
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机译：使用纹理分析和深度学习从表观扩散系数数据集中自动分类心脏栓塞和动脉硬化性缺血性中风
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机译：鉴定高危小卒中或短暂性缺血攻击
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机译：与局灶性脑电图检查相关的肢体短暂性短暂性脑缺血发作：病例报告
11. Long-segment common carotid occlusion presenting with limb-shaking transient ischemic attack: a case report [O] . Qingjun Jiang, Sili Zou, Lefeng Qu 2019

机译：长期常见的颈动脉闭塞呈现肢体震动短暂性缺血攻击：案例报告
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机译：颅内 - 颅内旁路以降低缺血性卒中的风险。第6号。健康技术评估报告，1990年

Limb Shaking Transient Ischemic Attacks with Normal Neurovascular Ultrasound may Herald Cardioembolic Stroke: A Case Report

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