A case of recurrent transient ischemic attacks: carotid stump syndrome or posterior cerebral artery syndrome?
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A 71-year-old woman presented with two episodes of a transient right hemiparesis, lasting approximately 2–3 min, over the course of 1 week. Her medical history was unremarkable. The patient’s blood pressure was 125/78 mmHg, and her heart rate was 80 beats per minute. On neurological examination, the cranial nerves were intact, including normal movements of the extraocular muscles. Motor examination revealed normal muscle strength and tone; deep tendon reflexes were also normal. The Babinski sign was not elicited. Sensory examination results were normal for all modalities. No triggers for the observed neurological events were identified.
The research was supported by a grant of the Basic Science Research Program through the Ministry of Education of the Republic of Korea (NRF-2016R1D1A1B03933173) and by the National Research Foundation of Korea (NRF) grant funded by the Korea Government (MSIP) (NRF-2017R1E1A2A02067113).
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Conflict of interest
The authors declare that they have no conflict of interest.
- 2.Quill DS, Colgan MP, Summer DS Carotid stump syndrome: A colour-coded Doppler flow study. European J Vascular Surgery 3(1):78–83. https://doi.org/10.1016/S0950-821X(89)80112-4
- 3.Qiao XJ, Salamon N, Wang DJ, He R, Linetsky M, Ellingson BM, Pope WB (2013) Perfusion deficits detected by arterial spin-labeling in patients with TIA with negative diffusion and vascular imaging. AJNR Am J Neuroradiol 34(11):2125–2130. https://doi.org/10.3174/ajnr.A3551 CrossRefPubMedGoogle Scholar
- 4.Zaharchuk G, Bammer R, Straka M, Shankaranarayan A, Alsop DC, Fischbein NJ, Atlas SW, Moseley ME (2009) Arterial spin-label imaging in patients with normal bolus perfusion-weighted MR imaging findings: pilot identification of the borderzone sign. Radiology 252(3):797–807. https://doi.org/10.1148/radiol.2523082018 CrossRefPubMedGoogle Scholar