A Case of Middle Cerebral Artery Stenosis Presented with Limb-Shaking TIA

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 arte...

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Published inBrain and nerve = Shinkei kenkyū no shinpo Vol. 68; no. 7; p. 865
Main Authors Uno, Junji, Mineta, Haruyuki, Ren, Nice, Takagishi, Sou, Nagaoka, Shintarou, Kameda, Katsuharu, Maeda, Kazushi, Ikai, Yoshiaki, Gi, Hidefuku
Format Journal Article
LanguageJapanese
Published Japan 01.07.2016
Subjects
Aged
Angiography
Constriction, Pathologic
Female
Humans
Ischemic Attack, Transient - etiology
Ischemic Attack, Transient - pathology
Ischemic Attack, Transient - surgery
Magnetic Resonance Imaging
Middle Cerebral Artery - pathology
Middle Cerebral Artery - surgery
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Summary: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.
ISSN:1881-6096
DOI:10.11477/mf.1416200520