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NEUROLOGY 2004;63:1519-1521
© 2004 American Academy of Neurology
Brief Communications

Hemodynamic changes in limb shaking TIA associated with anterior cerebral artery stenosis

S. W. Han, MD, S. H. Kim, MD, J. K. Kim, MD, C. H. Park, MD, M. J. Yun, MD and J. H. Heo, MD PhD

From the Departments of Neurology (Drs. Han, S.H. Kim, J.K. Kim, Park, and Heo) and Nuclear Medicine (Dr. Yun), Research Institute of Aging Science, Brain Korea 21 Project for Medical Sciences, Yonsei University College of Medicine, Seoul, Korea.

Address correspondence and reprint requests to Dr. Ji Hoe Heo, Department of Neurology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemoon-ku, 120-752, Seoul, Korea; e-mail: jhheo{at}yumc.yonsei.ac.kr

Limb shaking TIA is a rare but well-known feature of severe carotid artery stenosis. The authors report a patient who developed recurrent shaking movements of a leg. An angiogram showed the focal stenosis of the anterior cerebral artery. Ictal and postacetazolamide SPECT scans suggested a local hyperfunction of cortical neurons and an impaired hemodynamic reserve in the vicinity of the ischemic area.

Received April 21, 2004. Accepted in final form June 1, 2004.




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E. Gerstner, B. Liberato, and C. B. Wright
Bi-hemispheric anterior cerebral artery with drop attacks and limb shaking TIAs
Neurology, July 12, 2005; 65(1): 174 - 174.
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