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Limb‑shaking transient ischemic attack
Dr. Abhijit Das Kessler Foundation Research Center, 300 Executive Drive Suite 70, West Orange, NJ 07052 USA abhijit.neuro@gmail.com
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.
Abstract
ABSTRACT
Limb shaking Transient Ischemic Attack is a rare manifestation of carotid‑occlusive disease. The symptoms usually present with seizure like activity and often misdiagnosed as focal seizures. Only on careful history the important clinical clues‑which may help in differentiating from seizure‑are revealed: Lack of Jacksonian march or aura; precipitation by maneuvers that lead to carotid compression. We present the case of an elderly gentleman with recurrent limb shaking transient ischemic attacks that was initially diagnosed as a case of epilepsy. His symptoms responded to optimization of blood pressure. The case report highlights the importance of accurate diagnosis as the treatment of the associated carotid artery occlusion may not only abolish the attacks but also reduce the risk of future stroke.
Keywords
Carotid occlusion
hypertension
limb‑shaking transient ischemic attack
seizure mimics
stroke
transient ischemic attack
Conflicts of interest
None declared
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