title: [A Case of Middle Cerebral Artery Stenosis Presented with Limb-Shaking TIA].
abstract: Involuntary movement is a rare clinical manifestation of transient ischemic attack (TIA). However, limb-shaking TIA is well described presentation of carotid occlusive disease. We present the case of a patient who developed limb-shaking TIA associated with high-grade stenosis of middle cerebral artery (M1), which was treated with percutaneous transluminal angioplasty (PTA). The procedure was performed successfully without complication and the symptom disappeared immediately after the procedure. The patient remained free of symptoms at the 38-month follow-up. There was no tendency of restenosis of M1. In this case, PTA was technically feasible and beneficial for limb-shaking TIA with M1 stenosis. Limb-shaking TIA can be a symptom of high-grade stenosis of M1.
authors.affiliation: Department of Neurosurgery, Baba Memorial Hospital.
authors.forename: Junji
authors.initials: J
authors.lastname: Uno
authors.forename: Haruyuki
authors.initials: H
authors.lastname: Mineta
authors.forename: Nice
authors.initials: N
authors.lastname: Ren
authors.forename: Sou
authors.initials: S
authors.lastname: Takagishi
authors.forename: Shintarou
authors.initials: S
authors.lastname: Nagaoka
authors.forename: Katsuharu
authors.initials: K
authors.lastname: Kameda
authors.forename: Kazushi
authors.initials: K
authors.lastname: Maeda
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ikai
authors.forename: Hidefuku
authors.initials: H
authors.lastname: Gi
mesh_terms: D000368:Aged; D000792:Angiography; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D020768:Middle Cerebral Artery / Q000473:pathology* / Q000601:surgery