老年人肢体抖动性短暂性脑缺血发作临床和影像学特征分析

摘要

Objective:To investigate the clinical and imaging features of limb shaking transient ischemic attack in the elderly. Methods:choose January 2010 to 2015 June in our hospital during the period of limb shaking transient ischemic attack 67 cases of patients as the research object, the selected patients were on the basis of routine examination to increase the image examination, according to its clinical features are divided into three groups:group A, B and C, analysis of patients with clinical features and imaging characteristics. Results:A group of patients with dizziness accompanied by dizziness, the right side of the body shaking weakness, there is no way to speech. Patients in group B showed left limb weakness, and left lower limb jitter. The C group was replaced by repeated language, the right side of the limb weakness with the upper limb jitter. All patients had remission after drug treatment. Conclusion:the limb shaking transient ischemic attack is rare in clinical, the form of attack is often manifested as paroxysmal, unconscious side of limb weakness and jitter, easy to be misdiagnosed as focal epilepsy. Diagnosis can be made by imaging feature analysis, which can improve the diagnostic accuracy of the disease.%目的：探讨老年人肢体抖动性短暂性脑缺血发作临床和影像学特征。方法选择2010年1月-2015年6月期间我院收治的肢体抖动性短暂性脑缺血发作患者67例作为研究对象，所选患者均在常规检查的基础上增加影像学检查，根据其临床特征分为A、B、C3组，分析患者的临床特点及影像学特征。结果A组患者表现为头晕伴有左眼模糊，右侧肢体抖动无力、没有办法言语。B组患者表现为左侧肢体无力麻痹，发作性左下肢抖动。C组换成表现为语言反复不清，右侧肢体无力伴上肢抖动。经药物治疗后所有患者抖动均得到缓解。结论肢体抖动性短暂性脑缺血发作在临床上较为少见，其发作形式常表现为发作性、无意识的一侧肢体无力及抖动，易误诊为局灶性癫痫。通过影像学特征分析可以明确诊断，提高该病诊断准确率。