Perfusion insufficiency in limb-shaking transient ischemic attacks.

  title={Perfusion insufficiency in limb-shaking transient ischemic attacks.},
  author={Thomas K. Tatemichi and William L. Young and Isak Prohovnik and Darren R. Gitelman and James W. Correll and Jay P. Mohr},
  volume={21 2},
We describe a 63-year-old man with severe bilateral internal carotid artery disease who presented with repeated, brief attacks of left limb shaking precipitated by his standing up. Cerebral blood flow measured by xenon-133 inhalation showed reduced resting flows and a focal perfusion deficit in the right dorsofrontal and upper rolandic regions. Blood flow velocity and pulsatility index of the right middle cerebral artery measured by transcranial Doppler ultrasonography were also reduced. With… CONTINUE READING


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