Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA

Internal carotid artery (ICA) stenosis may lead to a wide range of clinical symptoms. We describe the case of a 66-year-old female who experienced a transient ischemic attack (TIA) with episodes of limb shaking caused by ICA stenosis. After epilepsy had been suspected and ruled out, studies of her l...

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Main Authors: Awad Javaid, Mostafa Alfishawy
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/3656859
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spelling doaj-9fbeabefef594772ad448771a4010cc82020-11-24T21:17:14ZengHindawi LimitedCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/36568593656859Internal Carotid Artery Stenosis Presenting with Limb Shaking TIAAwad Javaid0Mostafa Alfishawy1Internal Medicine Department, Queens Hospital Center, 82-68 164th St., Jamaica, NY 11432, USAInternal Medicine Department, Queens Hospital Center, 82-68 164th St., Jamaica, NY 11432, USAInternal carotid artery (ICA) stenosis may lead to a wide range of clinical symptoms. We describe the case of a 66-year-old female who experienced a transient ischemic attack (TIA) with episodes of limb shaking caused by ICA stenosis. After epilepsy had been suspected and ruled out, studies of her left ICA showed extensive blockage as a result of atherosclerosis. Magnetic resonance angiography (MRA) revealed total occlusion of the left ICA and the patient was eventually medically managed due to the strong possibility of surgical complications. We reported this patient’s clinical course to shed light on a rare manifestation of carotid stenosis that may be confused with other diagnoses if not closely scrutinized.http://dx.doi.org/10.1155/2016/3656859
collection DOAJ
language English
format Article
sources DOAJ
author Awad Javaid
Mostafa Alfishawy
spellingShingle Awad Javaid
Mostafa Alfishawy
Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA
Case Reports in Neurological Medicine
author_facet Awad Javaid
Mostafa Alfishawy
author_sort Awad Javaid
title Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA
title_short Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA
title_full Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA
title_fullStr Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA
title_full_unstemmed Internal Carotid Artery Stenosis Presenting with Limb Shaking TIA
title_sort internal carotid artery stenosis presenting with limb shaking tia
publisher Hindawi Limited
series Case Reports in Neurological Medicine
issn 2090-6668
2090-6676
publishDate 2016-01-01
description Internal carotid artery (ICA) stenosis may lead to a wide range of clinical symptoms. We describe the case of a 66-year-old female who experienced a transient ischemic attack (TIA) with episodes of limb shaking caused by ICA stenosis. After epilepsy had been suspected and ruled out, studies of her left ICA showed extensive blockage as a result of atherosclerosis. Magnetic resonance angiography (MRA) revealed total occlusion of the left ICA and the patient was eventually medically managed due to the strong possibility of surgical complications. We reported this patient’s clinical course to shed light on a rare manifestation of carotid stenosis that may be confused with other diagnoses if not closely scrutinized.
url http://dx.doi.org/10.1155/2016/3656859
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