Bilateral Limb-Shaking Transient Ischemic Attacks

被引:8
|
作者
Miremadi, Brian Behdad [1 ]
Tran, An [2 ]
Wadi, Lara C. [3 ]
Suzuki, Shuichi [3 ,4 ]
Fisher, Mark J. [3 ,5 ]
机构
[1] Harbor UCLA Med Ctr, Dept Neurol, Torrance, CA 90509 USA
[2] VA Long Beach Healthcare Syst, Dept Neurol, Long Beach, CA USA
[3] Univ Calif Irvine, Dept Neurol, Irvine, CA 92717 USA
[4] Univ Calif Irvine, Dept Neurosurg, Irvine, CA USA
[5] Univ Calif Irvine, Dept Pathol & Lab Med, Irvine, CA USA
来源
关键词
Transient ischemic attack; internal carotid artery; carotid stenosis; cerebral angiography; blood pressure;
D O I
10.1016/j.jstrokecerebrovasdis.2019.104577
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Limb shaking is a rare manifestation of transient ischemic attacks (TIA) associated with carotid occlusion, mostly unilateral events. We describe the case of a 69 year-old man who presented with repeated episodes of irregular jerking movements in the bilateral upper and lower extremities, precipitated by standing up. Cerebral angiograms revealed occlusion of both internal carotid arteries, and the patient's symptoms responded to targeted blood pressure management. Physicians should be mindful of bilateral limb-shaking TIA when presented with bilateral paroxysmal events that can mimic seizures or orthostatic hyperkinesia.
引用
收藏
页数:3
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