补液扩容改善肢体抖动型短暂性脑缺血发作症状1例并文献复习  

Limb-Shaking Transient Ischemic Attacks Successfully Attenuated by Fluid Resuscitation:A Case Report and Literature Review

作　　者：蓝琳芳[1] 陈定邦[1] 姚晓黎[1] 范玉华[1] LAN Linfang;CHEN Dingbang;YAO Xiaoli;FAN Yuhua(Department of Neurology,The First Affiliated Hospital,Sun Yat-Sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院神经科,广州510080

出　　处：《中国卒中杂志》2023年第11期1298-1302,共5页Chinese Journal of Stroke

基　　金：国家自然科学基金青年项目(81901187)。

摘　　要：肢体抖动型短暂性脑缺血发作(limb-shaking transient ischemic attack,LS-TIA)是一种罕见的脑血管病类型,本文报道1例LS-TIA患者在双联抗血小板、调脂等常规治疗下仍反复出现不自主肢体抖动,但通过补液扩容使症状得到了改善。本文结合患者的影像学特点深入探讨脑血流灌注在LS-TIA发病机制中的作用,并对其治疗方式进行文献综述。Limb-shaking transient ischemic attack(LS-TIA)is a rare type of cerebrovascular disease.This study reports a case with LS-TIA who suffered from refractory involuntary limb shaking under routine stroke treatments such as dual antiplatelet therapy and lipid regulation.The involuntary limbs shaking was successfully attenuated after treatment with fluid resuscitation.This case report highlights the critical role of cerebral perfusion in the pathogenesis of LS-TIA and conducts a literature review on the related treatments.

关 键 词：短暂性脑缺血发作 抖动型短暂性脑缺血发作 低灌注 血管狭窄 

分 类 号：R743.31[医药卫生—神经病学与精神病学]