Bilateral internal carotid artery stenosis presenting as Limb-Shaking syndrome
Estenosis bilateral de carótidas internas manifestado por síndrome de Limb-Shaking
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Abstract
Limb-shaking syndrome or involuntary shaking movements of the affected limbs as a manifestation of a transient ischemic attack is rare and often is associated with internal carotid artery stenosis. The main differential diagnosis is a convulsive seizure. We present the case of a patient with bilateral intracranial carotid artery stenosis presenting as limb shaking syndrome, showing satisfactory clinical improvement after undergoing stent revascularization.
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Yanagihara T, Piepgras DG, Klass DW. Repetitive involuntary movement associated with episodic cerebral ischemia. Ann Neurol. 1985;18(2):244-50. doi:10.1002/ana.410180212 DOI: https://doi.org/10.1002/ana.410180212
Javaid A, Alfishawy M. Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA. Case Rep Neurol Med. 2016;2016:3656859. doi: 10.1155/2016/3656859 DOI: https://doi.org/10.1155/2016/3656859
Fisher CM. Concerning recurrent transient cerebral ischemic attacks. Can Med Assoc J. 1962;86:1091-9.
Kim SH, Han SW, Heo JH. Predictive implications of recurrent transient ischemic attacks in large-artery atherosclerosis. Cerebrovasc Dis. 2006;22(4):240-4. doi: 10.1159/000094010 DOI: https://doi.org/10.1159/000094010
Rosenbaum S, Ovesen C, Futrell N, Krieger DW. Inducible limb-shaking transitory ischemic attacks: a video-documented case report and review of the literature. BMC Neurol. 2016;16:78. doi: 10.1186/s12883-016-0601-8 DOI: https://doi.org/10.1186/s12883-016-0601-8
Zaidat OO, Werz MA, Landis DM, Selman W. Orthostatic limb shaking from carotid hypoperfusion. Neurology. 1999;53(3):650-1. doi: 10.1212/wnl.53.3.650 DOI: https://doi.org/10.1212/WNL.53.3.650
Das A, Baheti NN. Limb-shaking transient ischemic attack. J Neurosci Rural Pract. 2013;4(1):55-6. doi: 10.4103/0976-3147.105615 DOI: https://doi.org/10.4103/0976-3147.105615
Schulz UG, Rothwell PM. Transient ischaemic attacks mimicking focal motor seizures. Postgrad Med J. 2002;78(918):246-7. doi: 10.1136/pmj.78.918.246 DOI: https://doi.org/10.1136/pmj.78.918.246
Persoon S, Kappelle LJ, Klijn CJ. Limb-shaking transient ischaemic attacks in patients with internal carotid artery occlusion: a case-control study. Brain. 2010;133(Pt 3):915-22. doi: 10.1093/brain/awq009 DOI: https://doi.org/10.1093/brain/awq009
Persoon S, Kappelle LJ, Klijn CJM. Limb-Shaking Transient Ischaemic Attacks in Patients With Internal Carotid Artery Occlusion: A Case-Control Study. Journal of Vascular Surgery. 2010;52(3):798. doi: 10.1016/j.jvs.2010.07.039 DOI: https://doi.org/10.1016/j.jvs.2010.07.039
Ma QF, Huang Q, Zhang Q, Fan CQ, Guo XH, Wu J. Association between clinical features and prognosis of patients with limb-shaking transient ischemic attack. Chin Med J (Engl). 2013;126(22):4354-7.