title: Synchronized Babinski and Chaddock signs preceded the MRI findings in a case of repetitive transient ischemic attack.
abstract: We herein report a 53-year-old female with repeated transient ischemic attack (TIA) symptoms including 13 instances of right hemiparesis that decreased in duration over 4 days. Two separate examinations using diffusion weighted image (DWI) in magnetic resonance imaging (MRI) revealed normal findings, but we observed that both Babinski and Chaddock signs were completely synchronized with her right hemiparesis. We were only able to diagnose this case of early stage TIA using clinical signs. This diagnosis was confirmed 4 days after the onset by the presence of abnormalities on the MRI. DWI-MRI is generally useful when diagnosing TIA, but a neurological examination may be more sensitive, especially in the early stages.
authors.affiliation: Department of Neurology, Kurashiki Heisei Hospital, Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Matsuzono
authors.forename: Takao
authors.initials: T
authors.lastname: Yoshiki
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Wakutani
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Manabe
authors.forename: Toru
authors.initials: T
authors.lastname: Yamashita
authors.forename: Kentaro
authors.initials: K
authors.lastname: Deguchi
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Koji
authors.initials: K
authors.lastname: Abe
mesh_terms: D038524:Diffusion Magnetic Resonance Imaging; D042241:Early Diagnosis; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D008875:Middle Aged; D010291:Paresis / Q000209:etiology / Q000503:physiopathology; D001405:Reflex, Babinski / Q000175:diagnosis / Q000503:physiopathology