Hemodynamic changes in limb shaking TIA associated with anterior cerebral artery stenosis.
Limb shaking TIA is a rare but well-known feature of severe carotid artery stenosis. The authors report a patient who developed recurrent shaking movements of a leg. An angiogram showed the focal stenosis of the anterior cerebral artery. Ictal and postacetazolamide SPECT scans suggested a local hyperfunction of cortical neurons and an impaired hemodynamic reserve in the vicinity of the ischemic area.
Han
S W
SW
Department of Neurology, Research Institute of Aging Science, Brain Korea 21 Project for Medical Sciences, Yonsei University College of Medicine, Seoul, Korea.
Kim
S H
SH
Kim
J K
JK
Park
C H
CH
Yun
M J
MJ
Heo
J H
JH
D000086:Acetazolamide; D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D000925:Anticoagulants / Q000627:therapeutic use; D002257:Carbonic Anhydrase Inhibitors; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation / Q000187:drug effects / Q000502:physiology; D003251:Constriction, Pathologic / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D003337:Corpus Callosum / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006179:Gyrus Cinguli / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D020243:Infarction, Anterior Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D002546:Ischemic Attack, Transient / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D007866:Leg / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009069:Movement Disorders / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon; D016896:Treatment Outcome
D000925:Anticoagulants; D002257:Carbonic Anhydrase Inhibitors; D000086:Acetazolamide