Cerebral ischemic attack caused by postprandial hypotension.
BACKGROUND
Food ingestion sometimes induces systemic hypotension (postprandial hypotension). Although the possibility of stroke occurring postprandially has been suggested, no cases have been reported until now.


METHODS
A 78-year-old man experienced repeated transient ischemic attacks after almost every ingestion of food and showed orthostatic and postprandial hypotension. An angiogram revealed occlusion of his left carotid artery and stenosis of his right middle cerebral artery.


CONCLUSIONS
Postprandial as well as orthostatic hypotension can be a risk factor for stroke in patients with severe occlusive cerebrovascular disease.
Kamata
T
T
Department of Neurology, Tokyo Medical and Dental University, Japan.
Yokota
T
T
Furukawa
T
T
Tsukagoshi
H
H
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D001794:Blood Pressure; D002545:Brain Ischemia / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000175:diagnosis / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002539:Cerebral Arterial Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D002560:Cerebrovascular Circulation; D004435:Eating; D004569:Electroencephalography; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000503:physiopathology*; D007024:Hypotension, Orthostatic; D002546:Ischemic Attack, Transient / Q000209:etiology* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D013599:Systole; D014055:Tomography, Emission-Computed