Spontaneous middle cerebral arterial dissection presented with limb shaking
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Updated: Jun 22, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Yi-Chien Liu1, Chih-Ping Chung, Ping-Keung Yip
1Neurological Center, Cardinal Tien Hospital, Taipei, Taiwan.
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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