Limb shaking: transient ischaemic attack. A case report
Keywords:
limb shaking, hemodynamic TIA, carotid stenosisAbstract
Limb shaking transient ischemic (LS-TIA) is an uncommon type of carotid transient ischemic attack, characterized by involuntary limb movements or shaking, mainly precipitated by maneuvers which reduce cerebral perfusion, such as standing and hiperextending the neck. Often confused with focal motor seizures however EEG has failed to show epileptiform activity. This distinction is crucial as this form of TIA is often an indicator of severe carotid occlusive diseases and patients are at high risk of stroke. Recognition of these symptoms and their relationship to major carotid occlusive disease may lead to more prompt diagnosis an appropriate treatment.
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Copyright (c) 2016 M Otero-Soler, M Escamilla-Espínola, MT Tolmos-Estefanía, S Pérez-Pinto, MC Grande-Sáez

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