短暂性肢体抖动综合征患者的临床分析  

Clinical analysis of patients with transient limb shaking syndrome

作　　者：邹永明[1,2] 崔晓琼[3] 王文红[4] 

机构地区：[1]南开大学医学院,天津300071 [2]解放军总医院 [3]天津市第三中心医院心脏中心 [4]天津市第一中心医院神经内科

出　　处：《中华老年心脑血管病杂志》2013年第2期161-163,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨短暂性肢体抖动综合征(LSS)的临床表现、诊断及治疗,提高临床诊治水平。方法选择LSS患者12例,回顾性分析其临床表现、辅助检查结果、治疗及预后。结果 12例患者均以肢体抖动为首发症状,颈部血管超声、经颅多普勒超声、MRI及全脑数字减影血管造影均有相应的阳性发现,经支架置入和药物保守治疗后多数患者未再发作。结论 LSS是一种比较少见的短暂性脑缺血发作形式,临床上应与其他发作性疾病如局灶性运动型癫痫相鉴别。血运重建,改善脑血流动力学状态是治疗的根本措施。Objective To study the clinical manifestations, diagnosis and treatment of transient limb shaking syndrome（LSS） in order to improve its clinical diagnosis and treatment. Methods Twelve patients with transient LSS were included in this study. Their clinical manifestations,la- boratory findings, treatment and prognosis were retrospectively analyzed. Results The first symptom was limb shaking in the 12 patients. Cervical vascular ultrasonography,transcranial Do- pler ultrasonography,MRI and digital subtraction angiography were positive. No limb shaking oc- curred after stenting and drug treatment. Conclusion Transient LSS is a rare form of transient cerebral ischemic attack, which should be differentiated from other paroxysmal diseases such as focal motor epilepsy. Revascularization and improvement of cerebral hemodynamics are its funda- mental treatment measures.

关 键 词：颈动脉狭窄 脑缺血发作 短暂性 四肢 震颤 血管造影术 数字减影 超声检查 多普勒 经颅 支架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]