Taniguchi Daisuke, Oji Yutaka, Ueno Yuji, Hirayama Shunki, Fukui Mariko, Miyamoto Nobukazu, Yamashiro Kazuo, Tanaka Ryota, Suzuki Kenji, Hattori Nobutaka
Department of Neurology, Faculty of Medicine, Juntendo University, Japan.
Department of Neurology, Faculty of Medicine, Juntendo University, Japan.
J Stroke Cerebrovasc Dis. 2017 Oct;26(10):e197-e198. doi: 10.1016/j.jstrokecerebrovasdis.2017.06.049. Epub 2017 Jul 26.
We report a case of limb-shaking transient ischemic attack (TIA) caused by a dissection of the middle cerebral artery (MCA) following lung surgery under general anesthesia. An 81-year-old male patient who underwent lobectomy for lung cancer suddenly developed transient shaking movements of the neck and the left upper distal limb on postoperative day 1. On the basis of the double-barrel appearance of the right M1 segment of the MCA, a diagnosis of MCA dissection was made. Physicians should be aware that limb-shaking TIA is sometimes caused by MCA dissection and could be precipitated by any condition, including lung surgery under general anesthesia.
我们报告一例在全身麻醉下进行肺手术后因大脑中动脉（MCA）夹层导致的肢体抖动性短暂性脑缺血发作（TIA）病例。一名81岁男性患者因肺癌接受肺叶切除术后第1天突然出现颈部和左上肢远端短暂抖动。基于MCA右M1段的双腔表现，诊断为MCA夹层。医生应意识到肢体抖动性TIA有时由MCA夹层引起，且任何情况都可能诱发，包括全身麻醉下的肺手术。
