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颈动脉短暂缺血发作(TIA)的常见临床表现是:一过性半球发作(THAs)及一过性单眼盲(TMB),而肢体抖动则少见,可被误诊为局灶性癫痫,故须引起临床重视。本文报告8例患者,男5例,女3例,年龄44～88岁,平均60岁,均有多次发作的一过性不随意肢体运动。作者描述为“抖动”、“震颤”、“颤搐”、“扑动”、“摇摆”。持续数秒至数分申,偶尔稍长。发作与体位无关。单侧上肢和手受累者4例,上下肢均发生者3例,双手受累者1例。抖动的特征是粗大、不规则,常伴受累肢体末端最大程度的侧向运动。偶伴抖动肢体无力,间或伴言语困难和全身无力。发作无局灶癞痫的特征,无惊厥史。发作间期,脑电图未见癫痫样波型。5例试用抗痫药物无效。脑血管造影证实全部患者均在抖动肢体的对侧有严重的颈动脉粥样硬化性闭塞,其中
Common clinical manifestations of carotid transient ischemic attack (TIA) are transient hemispheric (THAs) and transient monocular blind (TMB), while limb jitter is uncommon and may be misdiagnosed as focal epilepsy Caused by clinical attention. This article reports 8 patients, 5 males and 3 females, aged 44 to 88 years, mean 60 years old, have multiple episodes of transient sexual activity is not random. The authors describe jitter, tremor, twitch, flutter, and swing. Lasts for a few seconds to minutes, occasionally slightly longer. Seizures and body position has nothing to do. Unilateral upper limbs and hands were affected in 4 cases, upper and lower limbs occurred in 3 cases, both hands involved in 1 case. Jitter is characterized by coarse, irregular, often accompanied by involvement of the maximum lateral movement of the extremities. Even with jitter limb weakness, sometimes with speech difficulties and general weakness. Seizures without focal features of epilepsy, no history of convulsions. Seizure interval, no epileptiform EEG wave pattern. 5 cases of experimental anti-epileptic drugs ineffective. Cerebral angiography confirmed that all patients had severe carotid atherosclerotic occlusions on the contralateral side of the jittering limbs, with