Limb-Shaking Transient Ischemic Attacks: Diagnosis, Prognosis, and Management

D. Pérez, L. Elijovich
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Abstract

Limb-shaking transient ischemic attacks (LSTIAs) are a rare manifestation of carotid occlusive disease. We report the case of an 81 year old woman who presented with recurrent LSTIAs and received conservative treatment with cessation of her antihypertensive medications. Multi-Slice Detector CT Angiography (MSCTA) demonstrated a right internal carotid artery occlusion with evidence of cerebral autoregulatory compensation via leptomeningeal vessels. This case characterizes LSTIAs and demonstrates the use of MSCTA in diagnosis, prognosis, and management.
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摇晃肢体的短暂性脑缺血发作:诊断、预后和管理
肢体抖动短暂性脑缺血发作(LSTIAs)是颈动脉闭塞性疾病的一种罕见表现。我们报告一例81岁女性复发性lstia并接受保守治疗并停止抗高血压药物。多层螺旋CT血管造影(MSCTA)显示右侧颈内动脉闭塞,并通过小脑膜血管显示大脑自我调节代偿。该病例具有lstia的特征,并证明了MSCTA在诊断、预后和治疗中的应用。
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