Bilateral Limb-Shaking Transient Ischemic Attacks

We describe the case of a 69 year-old man who presented with repeated episodes of irregular jerking movements in the bilateral upper and lower extremities, precipitated by standing up. Cerebral angiograms revealed occlusion of both internal carotid arteries, and the patient's symptoms responded to targeted blood pressure management. Physicians should be mindful of bilateral limb-shaking TIAs when presented with bilateral paroxysmal events that can mimic seizures or orthostatic hyperkinesia.

Source: Journal of Stroke and Cerebrovascular Diseases - December 9, 2019 Category: Neurology Authors: Brian Behdad Miremadi, An Tran, Lara C. Wadi, Shuichi Suzuki, Mark J. Fisher Tags: Case Report Source Type: research