本文選題：肢體抖動　切入點：TIA　出處：《臨床神經病學雜志》2017年02期 　論文類型：期刊論文

【摘要】：目的探討肢體抖動TIA(LS-TIA)的臨床和影像學特點。方法采集14例有頸內動脈狹窄的LS-TIA患者(LS-TIA組)及28例有頸內動脈狹窄的無發(fā)作性肢體抖動的TIA或輕微癥狀的缺血性卒中患者(TIA對照組)的臨床資料并進行比較。總結LS-TIA患者臨床及影像學特點。結果 LS-TIA患者均以發(fā)作性肢體抖動癥狀來就診,發(fā)作時無肢體強直陣攣,無意識喪失和大小便失禁癥狀,無面肌受累。LS-TIA患者發(fā)作持續(xù)時間通常5 min,發(fā)作的部位以單側上肢多見,常見發(fā)病誘因包括站立后行走、運動及咳嗽。LS-TIA組患者高血壓病的比例明顯高于TIA對照組(P0.05)。LS-TIA組患者臨床表現為其他皮質TIA表現、黑w�、进展为缺血性卒中抵\壤饗愿哂赥IA對照組(均P0.05)。LS-TIA組患者較TIA對照組有更多的軟腦膜側支。結論 LS-TIA是一種少見表現形式的TIA,特征性表現為反復發(fā)作的單側肢體不自主的抖動,頸內動脈狹窄是其發(fā)病基礎,且更易進展為缺血性卒中,其更依賴于來自嚴重病變頸內動脈遠端的側支循環(huán)血流供應。
[Abstract]:Objective to investigate the clinical and imaging features of limb jitter TIA-LS-TIA. Methods 14 patients with internal carotid artery stenosis (LS-TIA) and 28 patients with internal carotid artery stenosis (TIA) without paroxysmal limb jitter or ischemic stroke with mild symptoms were collected. The clinical data of patients with LS-TIA were compared. The clinical and imaging features of patients with LS-TIA were summarized. Results all patients with LS-TIA were treated with paroxysmal limb jitter. There were no limb tonic-clonic, unconscious loss and incontinence, no facial muscle involvement. The duration of attack was usually 5 minutes. The site of attack was more common in unilateral upper limb, and the common inducement included walking after standing. The proportion of hypertension in exercise and cough. LS-TIA group was significantly higher than that in TIA control group (P 0.05). LS-TIA group showed other cortical TIA manifestations. Scratch? Avoid? Kill your arms and seek earth? ? There were more lateral branches of pial meninges in the control group (P0.05U. LS-TIA) than in the TIA control group. Conclusion LS-TIA is a rare manifestation of TIA, characterized by recurrent involuntary wobble of one side of limb. The stenosis of internal carotid artery is the basis of its pathogenesis, and it is more likely to develop into ischemic stroke, and it is more dependent on the blood supply of collateral circulation from the distal end of the internal carotid artery.
【作者單位】： 合肥市第一人民醫(yī)院(安徽醫(yī)科大學第三附屬醫(yī)院)神經內科;
【分類號】：R743.31

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