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Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report

Limb-shaking transient ischemic attack (LS-TIA) is a rare clinical manifestation of steno-occlusive carotid lesions. Reports of LS-TIA caused by posterior circulation ischemia are rare. Here, the case of a 56-year-old male patient with a history of epilepsy, who presented with dizziness, nausea and...

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Autores principales: Zhao, Zhihong, Qin, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9743026/
https://www.ncbi.nlm.nih.gov/pubmed/36482679
http://dx.doi.org/10.1177/03000605221142361
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author Zhao, Zhihong
Qin, Jie
author_facet Zhao, Zhihong
Qin, Jie
author_sort Zhao, Zhihong
collection PubMed
description Limb-shaking transient ischemic attack (LS-TIA) is a rare clinical manifestation of steno-occlusive carotid lesions. Reports of LS-TIA caused by posterior circulation ischemia are rare. Here, the case of a 56-year-old male patient with a history of epilepsy, who presented with dizziness, nausea and vomiting, is reported. Initial brain magnetic resonance imaging (MRI) indicated no signs of acute ischemia, and the patient’s symptoms had not relieved despite drug administration to treat dizziness. During a vestibular function test on the next day, he developed sudden left-limb shaking without disturbance of consciousness or facial twitching. Considering a seizure, an anti-epileptic drug was administered, but no improvement was observed. Eight hours later, the patient experienced left-limb paralysis, and re-examination of the MRI indicated brainstem infarction. The patient recovered well with antiplatelet and antiatherosclerotic therapy. While LS-TIA is a rare manifestation of TIA of the carotid arterial system, posterior circulation ischemia may also manifest as LS-TIA. If a patient presents with limb shaking due to postural changes despite a history of epilepsy, LS-TIA should be highly suspected.
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spelling pubmed-97430262022-12-13 Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report Zhao, Zhihong Qin, Jie J Int Med Res Case Reports Limb-shaking transient ischemic attack (LS-TIA) is a rare clinical manifestation of steno-occlusive carotid lesions. Reports of LS-TIA caused by posterior circulation ischemia are rare. Here, the case of a 56-year-old male patient with a history of epilepsy, who presented with dizziness, nausea and vomiting, is reported. Initial brain magnetic resonance imaging (MRI) indicated no signs of acute ischemia, and the patient’s symptoms had not relieved despite drug administration to treat dizziness. During a vestibular function test on the next day, he developed sudden left-limb shaking without disturbance of consciousness or facial twitching. Considering a seizure, an anti-epileptic drug was administered, but no improvement was observed. Eight hours later, the patient experienced left-limb paralysis, and re-examination of the MRI indicated brainstem infarction. The patient recovered well with antiplatelet and antiatherosclerotic therapy. While LS-TIA is a rare manifestation of TIA of the carotid arterial system, posterior circulation ischemia may also manifest as LS-TIA. If a patient presents with limb shaking due to postural changes despite a history of epilepsy, LS-TIA should be highly suspected. SAGE Publications 2022-12-08 /pmc/articles/PMC9743026/ /pubmed/36482679 http://dx.doi.org/10.1177/03000605221142361 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Zhao, Zhihong
Qin, Jie
Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report
title Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report
title_full Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report
title_fullStr Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report
title_full_unstemmed Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report
title_short Limb-shaking transient ischemic attack in posterior circulation ischemia: a case report
title_sort limb-shaking transient ischemic attack in posterior circulation ischemia: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9743026/
https://www.ncbi.nlm.nih.gov/pubmed/36482679
http://dx.doi.org/10.1177/03000605221142361
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