July 1997

Limb-Shaking Carotid Transient Ischemic Attacks Successfully Treated With Modification of the Antihypertensive Regimen

Author Affiliations

From the Divisions of Cerebrovascular Diseases (Drs Leira and Adams) and Movement Disorders (Dr Ajax), the Department of Neurology, the University of Iowa, Iowa City.

Arch Neurol. 1997;54(7):904-905. doi:10.1001/archneur.1997.00550190090019

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.