Abstract
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.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Acetazolamide
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Anterior Cerebral Artery / diagnostic imaging
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Anterior Cerebral Artery / pathology*
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Anterior Cerebral Artery / physiopathology
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Anticoagulants / therapeutic use
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Carbonic Anhydrase Inhibitors
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Cerebral Angiography
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Cerebrovascular Circulation / drug effects
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Cerebrovascular Circulation / physiology
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Constriction, Pathologic / complications*
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Constriction, Pathologic / pathology
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Constriction, Pathologic / physiopathology
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Corpus Callosum / blood supply
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Corpus Callosum / diagnostic imaging
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Corpus Callosum / pathology
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Female
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Gyrus Cinguli / blood supply
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Gyrus Cinguli / diagnostic imaging
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Gyrus Cinguli / pathology
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Humans
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Infarction, Anterior Cerebral Artery / diagnostic imaging
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Infarction, Anterior Cerebral Artery / pathology*
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Infarction, Anterior Cerebral Artery / physiopathology
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Ischemic Attack, Transient / complications*
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Ischemic Attack, Transient / pathology
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Ischemic Attack, Transient / physiopathology
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Leg / physiopathology
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Magnetic Resonance Imaging
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Middle Aged
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Movement Disorders / etiology*
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Movement Disorders / pathology
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Movement Disorders / physiopathology
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Tomography, Emission-Computed, Single-Photon
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Treatment Outcome
Substances
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Anticoagulants
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Carbonic Anhydrase Inhibitors
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Acetazolamide