Prognostic relevance of limb shaking in symptomatic carotid artery occlusion

Cerebrovascular Diseases
Michael KnoflachJohann Willeit

Abstract

Internal carotid artery (ICA) occlusion, present in up to 15% of stroke patients, may cause low-flow transient ischemic attacks (TIAs) like limb shaking (LS) or retinal claudication (RC). Reliable data on the frequency of these phenomena and their potential prognostic relevance are still sparse. To provide more data about the frequency of low-flow TIA and investigate their influence on outcome. Medical records of 260 consecutive patients with symptomatic ICA occlusion were carefully reviewed (survey period: January 2000 to December 2006). Baseline stroke severity and outcome at 90 days and in the long term were assessed. All patients were specifically questioned about symptoms of LS and RC, were exposed to bright light (pupillary testing) and carefully watched during testing of posture/gait and early mobilization. LS, RC or both occurred in 28.6, 9.5 and 2.7%, respectively, of patients eligible for a thorough assessment of low-flow TIAs (n = 147). An adverse outcome was more likely in patients with LS than in those without at day 90 (modified Ranking Scale ≥4, 45.2 vs. 21.9%, p = 0.005) and in the long term (median, 37 months) (52.7 vs. 23.1%, p < 0.001). In a multivariable analysis, prognostic relevance was found to be indepen...Continue Reading

References

Feb 1, 1990·Stroke; a Journal of Cerebral Circulation·T K TatemichiJ P Mohr
Mar 10, 1997·Journal of the Neurological Sciences·F Ghika-SchmidJ Bogousslavsky
Oct 15, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·R W Baumgartner, I Baumgartner
Aug 17, 1999·Neurology·O O ZaidatW Selman
Jun 30, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Catharina J M KlijnJ Van Gijn
Jul 7, 2001·Stroke; a Journal of Cerebral Circulation·F VernieriM Silvestrini
Jul 12, 2005·Cerebrovascular Diseases·Maurizio PaciaroniGiancarlo Agnelli
Feb 17, 2010·Brain : a Journal of Neurology·Suzanne PersoonCatharina J M Klijn

Citations

Jan 27, 2015·Practical Neurology·Edward T LittletonAlok Tiwari
Jan 26, 2016·World Neurosurgery·Jacob R JosephB Gregory Thompson
May 21, 2019·Stroke and Vascular Neurology·Michael Y Xu
Jan 13, 2018·Der Nervenarzt·J S BecktepeG Deuschl

Related Concepts

Arterial Occlusive Diseases
Internal Carotid Artery Diseases
Crescendo Transient Ischemic Attacks
Relapse
Retinal Diseases
Retrospective Studies
Static Tremor
Multivariate Analysis
Carotid Arteries
Internal Carotid Artery Structure

Related Feeds

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.