Chapter

Case 38

Sarah Pendlebury, Ursula Schulz, Aneil Malhotra and Peter M. Rothwell

in Oxford Case Histories in TIA and Stroke

Published on behalf of Oxford University Press

Published in print January 2012 | ISBN: 9780199539345
Published online November 2012 | e-ISBN: 9780191753251 | DOI: http://dx.doi.org/10.1093/med/9780199539345.003.0235

Series: Oxford Case Histories

Case 38

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A 61-year-old woman developed attacks of rhythmic arm shaking. Her attacks consisted of briefly feeling dizzy after which her left arm began to shake at a rate of about 3Hz. This lasted from a few seconds up to 2 minutes. Consciousness was never impaired and there were no other symptoms. The attacks were often provoked by standing up and could be terminated by lying down. On average, they occurred once a week. The patient had a history of diabetes, ischaemic heart disease, hypertension, and peripheral vascular disease. She had also had a cardiac pacemaker inserted for second-degree heart block a few months prior to the onset of her attacks. There was no focal neurological deficit, but fundoscopy showed asymmetrical ischaemic retinopathy.

Chapter.  682 words. 

Subjects: Neurology

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