Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
View/Download PDF

Translate this page into:

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.

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

REFERENCES

  1. , . Concerning recurrent transient cerebral ischemic attacks. Can Med. 1962;86:1091-19.
    [Google Scholar]
  2. , , , . Repetitive involuntary movements associated with episodic cerebral ischemia. Ann Neurol. 1985;18:244-250.
    [Google Scholar]
  3. , , , . Limb shaking-a carotid TIA. Stroke. 1985;16:444-8.
    [Google Scholar]
  4. , . Limb shaking transient ischemic attack-an unusual presentation of carotid occlusive disease. A case report and review of the literature. Parkinsonism Relat Disord. 2004;10:451-3.
    [Google Scholar]
  5. , , , . Limb-shaking Transient Ischemic Attacks: Case report and review of literature. BMC Neurol. 2006;26(6):451.
    [Google Scholar]
  6. , , , . TIAs of hemodynamic origin mimicking simple partial motor seizures. Nervenarzt. 1998;69:901-4.
    [Google Scholar]
  7. , , , , , , et al. . Recurrent ischemia in symptomatic carotid occlusion. Prognostic value of hemodynamic factors. Neurology. 2000;55:1806-1812.
    [Google Scholar]
  8. , , , . Physiological diagnosis and surgical treatment of recurrent limb shaking: Case report. Neurosurgery. 1996;39:607-11.
    [Google Scholar]

Fulltext Views
462

PDF downloads
431
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections