Limb shaking transient ischemic attacks: A follow-up of 28 patients

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dc.contributor.authorKumral, E.
dc.contributor.authorBayam, F. E.
dc.contributor.authorErdogan, C. E.
dc.date.accessioned2020-12-01T11:58:21Z
dc.date.available2020-12-01T11:58:21Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground. - Limb shaking transient ischemic attack (LSTIA) is an uncommon picture of carotid-occlusive disease. the symptoms are a seizure like activity and misdiagnosed as partial motor seizures. We here present a series of patients in our registry who had limbshaking activities and their long-term outcome after treatment of their disease. Methods. - A total of 28 patients with limb shaking symptoms were recruited among 798 patients with TIA in our stroke registry. Risk factors and etiology of LSTIA were examined within hospitalization. After the initiaition of treatment patients were followed for a median of 6 months. Results. - Limb-shaking was observed mainly on the hand-arms (46%), and secondly on the legs (39%). We found five different DWI lesion patterns in patients with LSTIA, including unilateral or bilateral either cortical or borderzone ischemic hyperintensities. Carotid endarterectomy was performed in 9 (32%) patients and carotid angioplasty-stent (CAS) in 10 (36%), and after 6-months of follow-up none of the patients had LSTIA. Limb shaking continued only in a patient with chronic carotid occlusion who received only conservative treatment. Conclusions. - Limb shaking TIA point to carotid artery disease in the majority of patients and vertebrobasilar artery disease in one third. Fast and timely treatment with either surgical or CAS eliminates the attacks and also reduce their risk of stroke. (C) 2019 Published by Elsevier Masson SAS.en_US
dc.identifier.doi10.1016/j.neurol.2019.12.001en_US
dc.identifier.endpage591en_US
dc.identifier.issn0035-3787
dc.identifier.issn2213-0004
dc.identifier.issue7-8en_US
dc.identifier.pmid31916976en_US
dc.identifier.scopus2-s2.0-85077361735en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage587en_US
dc.identifier.urihttps://doi.org/10.1016/j.neurol.2019.12.001
dc.identifier.urihttps://hdl.handle.net/11454/61995
dc.identifier.volume176en_US
dc.identifier.wosWOS:000568900700008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMasson Editeuren_US
dc.relation.ispartofRevue Neurologiqueen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCarotid-occlusive diseaseen_US
dc.subjectTransient ischemic attacken_US
dc.subjectHypoperfusionen_US
dc.subjectIschemic strokeen_US
dc.subjectLimb shakingen_US
dc.titleLimb shaking transient ischemic attacks: A follow-up of 28 patientsen_US
dc.typeArticleen_US

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