title: [LIMB SHAKING: DESCRIPTION OF A CASE FROM A NURSING PERSPECTIVE].
abstract: BACKGROUND
  Limb shaking, which was described by MillerFisher in 1962, is characterized by involuntary, irregular, stereotyped a hemibody triggered by the contralateral hemisphere hypoperfusion. It is associated with an occlusion or stenosis preoclusive of the extracranial internal carotid artery (ICA) contralateral to the movements, and poor circulation contralateral. This causes ischemia resulting in typical clinical manifestations of stroke and these abnormal movements.
  
  
  OBJECTIVE
  To describe a case of limb shaking.
  
  
  METHODS
  59 years old man, with cardiovascular risk factors, who go to the Emergency room with symptoms and motor dysphasia and sudden loss of strength in right limbs, with distal brachial predominance. Admitted to Stroke Unit for neurological and hemodynamic monitoring, which coincides with the beginning of the sitting have an episode of these involuntary movements.
  
  
  RESULTS
  Diagnostic tests confirm a left frontal cortical ischemic stroke. The EEG shows a normal background bioelectric activity. The angio-MRI and angiography showed a left ICA pseudoocclusion.
  
  
  CONCLUSIONS
  A diagnosis of limb shaking based in the clinical examination and additional tests, which confirm the finding of a left ICA pseudo-occlusion and refractory to antiepileptic treatment.
  
  
  CONCLUSIONS
  The limb shaking is a rare syndrome, which must be recognized and differentiated early from other processes to treat it properly. Treatment is aimed at restoring cerebral blood flow through the ischemic hemisphere revascularization.
authors.forename: Fidel
authors.initials: F
authors.lastname: López Espuela
authors.forename: María Antonia
authors.initials: MA
authors.lastname: Jiménez Gracia
authors.forename: Pedro Enrique
authors.initials: PE
authors.lastname: Jiménez Caballero
authors.forename: Clara
authors.initials: C
authors.lastname: Leno Díaz
authors.forename: Jesús María
authors.initials: JM
authors.lastname: Lavado Garcia
authors.forename: Juan Diego
authors.initials: JD
authors.lastname: Pedrera Zamorano
mesh_terms: D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D014202:Tremor / Q000209:etiology