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Case Report
4 (
1
); 55-56
doi:
10.4103/0976-3147.105615

Limb‑shaking transient ischemic attack

Kessler Foundation Research Center, West Orange, USA
Department of Neurology, CIIMS Hospital, Nagpur, Maharashtra, India
Address for correspondence: Dr. Abhijit Das Kessler Foundation Research Center, 300 Executive Drive Suite 70, West Orange, NJ 07052 USA abhijit.neuro@gmail.com
Licence
This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Disclaimer:
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.

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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