Limb-shaking carotid transient ischemic attacks successfully treated with modification of the antihypertensive regimen
E. C. Leira, T. Ajax and H. P. Adams Jr
Division of Cerebrovascular Diseases, University of Iowa, Iowa City, USA.
Involuntary episodic movements associated with transient cerebral ischemia
are a rare but well-described presentation of carotid artery occlusive
disease. We describe a young man with a left carotid artery occlusion who
presented with daily episodes of involuntary movements of the right side
that occurred for months. His symptoms virtually disappeared after his
antihypertensive drug was reduced. This case supports the possibility of
noninvasive management of this condition, which is traditionally treated
with revascularization procedures.
