Stroke Unit, Neurology Department.Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain.
J Stroke Cerebrovasc Dis. 2021 Apr;30(4):105629. doi: 10.1016/j.jstrokecerebrovasdis.2021.105629. Epub 2021 Jan 23.
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.
肢体摇动综合征（LSS）通常与颈内动脉闭塞有关。在大脑中动脉狭窄的情况下，报告的病例很少。
我们报告了一例大脑中动脉狭窄患者的 LSS 病例。
患者为 62 岁男性，吸烟者，有高血压病史，表现为左侧面部和肢体肌阵挛。最初诊断为局灶性癫痫发作，并开始抗癫痫治疗。但他重复发作。脑电图无异常，超声和血管 MRI 检查显示严重的大脑中动脉狭窄。最终，诊断为肢体摇动综合征，开始抗血小板和大剂量降脂治疗。
并非所有异常运动都是癫痫发作引起的。当我们评估有血管危险因素的患者时，进行全面的血管研究非常重要，不仅要排除严重的颈动脉狭窄，还要排除颅内疾病。
