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J Neurol Neurosurg Psychiatry 65:561-564 doi:10.1136/jnnp.65.4.561
  • Short report

Vasomotor reactivity is exhausted in transient ischaemic attacks with limb shaking

Table 2

Treatment and clinical outcome of patients with limb shaking transient ischaemic attacks

Patient No Treatment Outcome
1 Conservative2-150 Patient declined STA-MCA bypass surgery. Limb shaking TIAs disappeared spontaneously after three months, and did not recur during the next two years
2 Endarterectomy L ICA Patient developed postoperatively hypertensive blood pressures (up to 240/130 mm Hg) and died six days after surgery of massive L hemispheric haemorrhage
3 Conservative2-150 No cardiovascular surgery was planned as diagnostic investigation disclosed inoperable epidermoid carcinoma of the lung with mediastinal metastases. Limb shaking TIAs continued until the patient died eight months later
4 Endarterectomy R ICA No further episodes of limb shaking TIAs occurred over 6 years
5 Conservative2-150 Patient declined STA-MCA bypass surgery, although limb shaking TIAs kept her bedridden; died six months later from a major stroke of the R hemisphere
  • ICA=interal carotid artery; L=left; R=right; STA-MCA=superficial temporal artery—middle cerebral artery; TIA=transient ischemic attack.

  • 2-150 Blood pressure was maintained in the upper normal range and aspirin was administered.

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