A Case of Middle Cerebral Artery Stenosis Presented with Limb-Shaking TIA Junji Uno 1 , Haruyuki Mineta 2 , Nice Ren 1 , Sou Takagishi 1 , Shintarou Nagaoka 1 , Katsuharu Kameda 1 , Kazushi Maeda 1 , Yoshiaki Ikai 1 , Hidefuku Gi 1 1Department of Neurosurgery, Baba Memorial Hospital 2Department of Neurology, Baba Memorial Hospital Keyword: limb-shaking TIA , 中大脳動脈狭窄 , 経皮的血管形成術 , limb-shaking TIA , MCA stenosis , PTA pp.865-869
Published Date 2016/7/1
DOI https://doi.org/10.11477/mf.1416200520
  • Abstract
  • Look Inside
  • Reference


Involuntary movement is a rare clinical manifestation of transient ischemic attack (TIA). However, limb-shaking TIA is well described presentation of carotid occlusive disease. We present the case of a patient who developed limb-shaking TIA associated with high-grade stenosis of middle cerebral artery (M1), which was treated with percutaneous transluminal angioplasty (PTA). The procedure was performed successfully without complication and the symptom disappeared immediately after the procedure. The patient remained free of symptoms at the 38-month follow-up. There was no tendency of restenosis of M1. In this case, PTA was technically feasible and beneficial for limb-shaking TIA with M1 stenosis. Limb-shaking TIA can be a symptom of high-grade stenosis of M1.

(Received December 14, 2015; Accepted December 21, 2015; Published July 1, 2016)

Copyright © 2016, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院