Limb-Shaking Transient Ischemic Attack Presenting with Myoclonus

Limb-shaking transient ischemic attack is a rare disease, associated with the steno-occlusion of the internal carotid artery. It is caused by hemodynamic dysfunction in the anterior circulation. It is difficult to observe patients directly in clinical settings since they visit the hospital after symptoms have subsided which usually last less than 5 minutes. Here we report a atient who developed right arm dominant myoclonus related to left internal carotid artery occlusion along with a recorded video.

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Limb-shaking transient ischemic attack in internal carotid artery occlusion.

Nihon Naika Gakkai Zasshi ◽

10.2169/naika.91.1595 ◽

2002 ◽

Vol 91 (5) ◽

pp. 1595-1597 ◽

Cited By ~ 1

Author(s):

Youshi Fujita ◽

Akihide Mochizuki ◽

Akira Tamaoka ◽

Shin'ichi Shoji

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Transient Ischemic Attack ◽

Internal Carotid ◽

Artery Occlusion ◽

Carotid Artery Occlusion ◽

Internal Carotid Artery Occlusion ◽

Ischemic Attack ◽

Limb Shaking

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Detection of hemodynamic transient ischemic attack during hemodialysis with near-infrared monitoring in a patient with internal carotid artery occlusion

Surgical Neurology ◽

10.1016/j.surneu.2006.10.039 ◽

2007 ◽

Vol 68 (3) ◽

pp. 292-294 ◽

Cited By ~ 9

Author(s):

Daina Kashiwazaki ◽

Satoshi Kuroda ◽

Shunsuke Terasaka ◽

Yoshinobu Iwasaki

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Transient Ischemic Attack ◽

Near Infrared ◽

Internal Carotid ◽

Artery Occlusion ◽

Carotid Artery Occlusion ◽

Internal Carotid Artery Occlusion ◽

Ischemic Attack ◽

Infrared Monitoring

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Successful Bridging Therapy in a 103-Year-Old Woman with Acute Terminal Internal Carotid Artery Occlusion

Case Reports in Neurology ◽

10.1159/000507693 ◽

2020 ◽

Vol 12 (Suppl. 1) ◽

pp. 9-14

Author(s):

Trung Quoc Nguyen ◽

Hoang Thi Phan ◽

Tinh Quang Dang ◽

Vu Thanh Tran ◽

Thang Huy Nguyen

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Intravenous Thrombolysis ◽

Artery Occlusion ◽

Carotid Artery Occlusion ◽

Left Internal Carotid Artery ◽

Bridging Therapy ◽

Nihss Score ◽

Current Guidelines

The efficacy of intravenous thrombolysis and endovascular therapy and their favorable treatment outcomes have been established in clinical trials irrespective of age. Current guidelines do not recommend an age limit in selecting eligible patients for reperfusion treatment as long as other criteria are satisfied. A 103-year-old woman was admitted at our hospital within 1 h of stroke onset secondary to a left internal carotid artery terminus occlusion. On admission, her National Institutes of Health Stroke Scale (NIHSS) score was 30, with a small left thalamic diffusion restriction lesion on MRI. Her medical history included paroxysmal atrial fibrillation, prior myocardial infarction, hypertension, chronic kidney disease, and diabetes mellitus. Her pre-stroke modified Rankin Scale score was 0, and she was fully independent before stroke. Once intravenous thrombolysis was started, the patient successfully underwent mechanical thrombectomy, and thrombolysis in cerebral infarction-3 recanalization was achieved 225 min after symptom onset. She showed dramatic recovery (NIHSS score of 5 after 48 h) and was discharged on day 7 with a modified Rankin Score of 1. To our knowledge, our patient is the second oldest documented patient who successfully underwent bridging therapy for stroke.

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Limb-shaking transient ischaemic attacks in patients with internal carotid artery occlusion: a case-control study

Brain ◽

10.1093/brain/awq009 ◽

2010 ◽

Vol 133 (3) ◽

pp. 915-922 ◽

Cited By ~ 51

Author(s):

Suzanne Persoon ◽

L. Jaap Kappelle ◽

Catharina J. M. Klijn

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Case Control Study ◽

Case Control ◽

Artery Occlusion ◽

Carotid Artery Occlusion ◽

Transient Ischaemic Attacks ◽

Limb Shaking ◽

Control Study

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Anesthetic Management for Spine Surgery in a Patient with Left Internal Carotid Artery Occlusion and Penetrating Aortic Ulcer: A Case Report

Soonchunhyang Medical Science ◽

10.15746/sms.21.026 ◽

2021 ◽

Vol 27 (2) ◽

pp. 106-109

Author(s):

Misoon Lee ◽

Dasom Choi ◽

Bon Sung Koo ◽

Sung-Hwan Cho

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Anesthetic Management ◽

Artery Occlusion ◽

Carotid Artery Occlusion ◽

Internal Carotid Artery Occlusion ◽

Left Internal Carotid Artery ◽

Penetrating Aortic Ulcer ◽

Mortality And Morbidity

A key challenge of anesthesia is to provide patients with safe and optimized anesthetic management to improve prognosis and minimize mortality and morbidity. To this end, the anesthesiologist should comprehensively understand the patient’s physical status through pre-anesthetic assessment and carefully monitor the patient during surgery. Several types of novel patient-monitoring devices may be useful to achieve this purpose. We report a case of anesthetic management in a patient with left internal carotid artery occlusion and penetrating aortic ulcer.

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