Neurological Sciences

, Volume 39, Issue 11, pp 1993–1995 | Cite as

A case of recurrent transient ischemic attacks: carotid stump syndrome or posterior cerebral artery syndrome?

  • Jin San Lee
  • Kyung Mi LeeEmail author
  • Hyug-Gi Kim
Letter to the Editor

Dear Editor:

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.

Recurrent transient ischemic attacks (TIAs) were suspected, and a laboratory and imaging diagnostic workup was performed. Hematological and biochemical profiles were normal. Thrombophilia, vasculitis, and infection screenings were all negative. Brain magnetic resonance imaging (MRI) showed delayed arterial transit (DAT) effects of the left...



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).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

10072_2018_3509_MOESM1_ESM.pptx (7.3 mb)
ESM 1 (PPTX 7428 kb)


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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurology, Kyung Hee University HospitalKyung Hee University College of MedicineSeoulSouth Korea
  2. 2.Department of Radiology, Kyung Hee University HospitalKyung Hee University College of MedicineSeoulSouth Korea

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