Are limb-shaking transient ischemic attacks a risk factor for postendarterectomy hemorrhage? Case report and literature review

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
Jeffrey A Switzer, Fenwick T Nichols

Abstract

Postoperative intracerebral hemorrhage occurs in about 0.5% of all carotid endarterectomies. There are no recognized risk factors for this complication. We report on a 74-year-old woman with right sided limb-shaking transient ischemic attacks and severe stenosis of the left internal carotid artery. She suffered a fatal intracerebral hemorrhage 11 days after endarterectomy. This case prompted a review of the literature to determine if limb-shaking transient ischemic attacks might be a risk factor for postoperative intracerebral hemorrhage. We propose that patients with limb-shaking transient ischemic attacks have loss of vasomotor reactivity placing them at high risk for carotid reperfusion syndrome and hemorrhage into the revascularized territory.

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Citations

Feb 9, 2010·Neurology India·Sweta P AdatiaShirish M Hastak
Jan 26, 2016·World Neurosurgery·Jacob R JosephB Gregory Thompson
Mar 18, 2016·Journal of Neurology, Neurosurgery, and Psychiatry·Robert J UreAlfonso Fasano
Aug 12, 2021·The Neuroradiology Journal·Kento TakaharaMasahiro Toda

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