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  • Title: Spontaneous middle cerebral arterial dissection presented with limb shaking.
    Author: Liu YC, Chung CP, Yip PK, Wang V.
    Journal: Acta Neurol Taiwan; 2009 Mar; 18(1):26-9. PubMed ID: 19537571.
    Abstract:
    Middle cerebral artery dissection (MCAD) is a rare cause for ischemic stroke and is often associated with headache and hemispheric symptoms. In the present report, limb shaking is found to be a major symptom of spontaneous MCAD in a young male. The diagnosis of MCAD is based on the intramural hematoma directly visualized in MR T2-weighted images and supported by serial evolution of transcranial doppler sonography. This presentation suggests that limb shaking can be a symptom of severe intracranial carotid occlusive disease.
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