Limb-shaking carotid transient ischemic attacks successfully treated with modification of the antihypertensive regimen.
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.
Leira
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EC
Division of Cerebrovascular Diseases, University of Iowa, Iowa City, USA.
Ajax
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T
Adams
H P
HP
D000328:Adult; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000009:adverse effects*; D002545:Brain Ischemia / Q000188:drug therapy*; D002340:Carotid Artery Diseases / Q000188:drug therapy*; D017292:Doxazosin / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D008297:Male; D009069:Movement Disorders / Q000188:drug therapy*; D011379:Prognosis; D014700:Verapamil / Q000008:administration & dosage / Q000009:adverse effects
D000959:Antihypertensive Agents; D014700:Verapamil; D017292:Doxazosin