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The shaking limb--a lacunar syndrome.
N Nagaratnam1, D F Ghougassian, M Lewis-Jones
1Geriatric and Rehabilitation Unit, Blacktown Hospital, NSW, Australia.
Postgraduate Medical Journal
|April 1, 1988
Summary
A 76-year-old man presented with finger tremors and arm weakness, diagnosed with lacunar infarctions. These symptoms suggest that shaking limbs can be part of lacunar syndromes.
Area of Science:
- Neurology
- Neuroimaging
- Vascular Neurology
Background:
- Lacunar infarcts are small strokes often resulting from hypertension or diabetes.
- They can present with a variety of focal neurological deficits.
Observation:
- A case study of a 76-year-old male patient is presented.
- The patient exhibited involuntary shaking movements of the fingers and ipsilateral arm weakness.
Findings:
- Computed tomographic (CT) scan revealed multiple lacunar infarcts in the brain.
- The observed clinical presentation, including tremors and weakness, correlated with the infarct locations.
Implications:
- This case suggests that tremors, specifically shaking limb movements, should be considered within the spectrum of lacunar syndromes.
- Recognizing this association may improve the diagnosis and management of stroke patients with atypical presentations.