title: Spontaneous middle cerebral arterial dissection presented with limb shaking.
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.
authors.affiliation: Neurological Center, Cardinal Tien Hospital, Taipei, Taiwan.
authors.forename: Yi-Chien
authors.initials: YC
authors.lastname: Liu
authors.forename: Chih-Ping
authors.initials: CP
authors.lastname: Chung
authors.forename: Ping-Keung
authors.initials: PK
authors.lastname: Yip
authors.forename: Vinchi
authors.initials: V
authors.lastname: Wang
mesh_terms: D000328:Adult; D020215:Carotid Artery, Internal, Dissection / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D005121:Extremities / Q000503:physiopathology*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D014202:Tremor / Q000209:etiology* / Q000503:physiopathology; D014463:Ultrasonography