[LIMB SHAKING: DESCRIPTION OF A CASE FROM A NURSING PERSPECTIVE]

Limb shaking is a rare neurological syndrome first described in 1962, marked by involuntary movements linked to cerebral hypoperfusion. Prior research has identified this condition as a stroke-related phenomenon, often involving internal carotid artery issues. It was already known that such movements correlate with contralateral hemisphere ischemia. However, this gap motivated further case descriptions to improve diagnostic clarity. No prior work had resolved the full clinical and diagnostic profile of limb shaking in real-world settings. This paper's contribution is a detailed nursing-perspective case report. The study adds to the limited literature on how limb shaking presents and is managed. It emphasizes the importance of early recognition to guide appropriate hemodynamic interventions.

The aim of this case report is to describe limb shaking from a nursing standpoint. The specific problem is the lack of awareness among clinicians about this rare syndrome. The motivation is to highlight the diagnostic and management challenges in stroke units. The patient presented with sudden right limb weakness and dysphasia, prompting neurological evaluation. The nursing perspective is critical for monitoring and recognizing subtle motor changes. This case illustrates the importance of hemodynamic monitoring in stroke care. The study seeks to inform clinical teams about the syndrome's presentation and diagnostic approach. It also underscores the need for interdisciplinary collaboration in managing complex stroke cases.

The study involved a 59-year-old man with cardiovascular risk factors presenting to the Emergency Room. He exhibited motor dysphasia and sudden right limb weakness. The patient was admitted to a Stroke Unit for neurological and hemodynamic monitoring. During this period, he developed involuntary movements in the right limbs. Diagnostic tests included angio-MRI and angiography to assess cerebral blood flow. An EEG was performed to rule out epileptic activity. Clinical examination and imaging findings were used to confirm the diagnosis. The nursing team documented the progression and response to treatment protocols.

The patient experienced involuntary movements in the right limbs, consistent with limb shaking syndrome. Diagnostic tests revealed a left frontal cortical ischemic stroke. Angio-MRI and angiography confirmed left internal carotid artery pseudo-occlusion. EEG results showed normal brain activity, ruling out epilepsy. The syndrome was diagnosed based on clinical signs and imaging findings. The patient's movements were refractory to antiepileptic treatment, supporting the limb shaking diagnosis. Nursing observations aligned with the clinical and radiological findings. The case highlights the need for early recognition to guide appropriate stroke management.

The authors propose that limb shaking is a rare but distinct stroke-related syndrome. Early recognition is essential to differentiate it from other neurological conditions. The syndrome is linked to contralateral hemisphere hypoperfusion. The patient's case supports the diagnostic criteria outlined in the literature. The treatment approach focuses on restoring cerebral blood flow. The nursing perspective is critical for monitoring and documenting symptom progression. The study emphasizes the importance of interdisciplinary collaboration in stroke units. Proper diagnosis and management can improve outcomes for patients with this rare condition.