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KMID : 0978920090100020204
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Korean Journal of Clinical Geriatrics
2009 Volume.10 No. 2 p.204 ~ p.208
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Transient Ischemic Attacks Presenting as Only Limb-shaking Symptom
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Song In-Uk
Chung Sung-Woo
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Abstract
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Limb shaking due to transient ischemic attacks represent a rare clinical syndrome that has been ascribed to focal cerebral ischemia attributable to insufficient brain perfusion, usually resulting from carotid artery occlusive disease. Most often, the limb shaking is brief, repetitive and regular in frequency, which has been described as shaking, twitching, swing, or trembling movements. However, we experienced a 67-year-old man with limb shaking syndrome of jerky movement on upper and lower limbs, resembling simple focal seizure disorder. The patient showed right carotid artery occlusion. The involuntary movements spontaneously disappeared and never relapse. The patient was treated conservatively with adjustment of anti-platelet medications.
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KEYWORD
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Limb-shaking, Transient cerebral ischemic attack, Carotid occlusion
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