Ribacoba Renée, Menéndez-González Manuel, Calleja Sergio, Salas-Puig Javier, de la Vega Vanessa
Service of Neurology, Hospital Universitario Central de Asturias, Oviedo, Astuias, Spain.
Int Arch Med. 2010 Sep 6;3:18. doi: 10.1186/1755-7682-3-18.
Limb shaking (LS) is often confused with focal motor seizures. Distinguishing between both is crucial, because LS may represent an indicator of severe carotid occlusive disease and patients are at high risk of stroke. We report the case of a patient with occlusive carotid stenosis without definite stroke who develops partial motor status epilepticus (SE). Clinical, neuroimaging and electroencephalographic findings are provided. We conclude that focal motor seizures should be distinguished from LS based on clinical and electroencephalographic findings.
肢体抖动（LS）常与局灶性运动性癫痫发作相混淆。区分两者至关重要，因为LS可能是严重颈动脉闭塞性疾病的一个指标，且患者有很高的中风风险。我们报告了一例患有闭塞性颈动脉狭窄但无明确中风的患者发生部分运动性癫痫持续状态（SE）的病例。提供了临床、神经影像学和脑电图检查结果。我们得出结论，应根据临床和脑电图检查结果将局灶性运动性癫痫发作与LS区分开来。
