Involuntary episodic movements associated with transient cerebral ischemia are a rare but welldescribed presentation of carotid artery occlusive disease. We describe a young man with a left carotid artery occlusion who presented with daily episodes of involuntary movements of the right side that occurred for months. His symptoms virtually disappeared after his antihypertensive drug use was reduced. This case supports the possibility of noninvasive management of this condition, which is traditionally treated with revascularization procedures.
Leira EC, Ajax T, Adams HP. Limb-Shaking Carotid Transient Ischemic Attacks Successfully Treated With Modification of the Antihypertensive Regimen. Arch Neurol. 1997;54(7):904-905. doi:10.1001/archneur.1997.00550190090019