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

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5 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)96-100
Number of pages5
JournalJournal of Neuroimaging
Volume18
Issue number1
DOIs
StatePublished - Jan 1 2008

Fingerprint

Transient Ischemic Attack
Cerebral Hemorrhage
Postoperative Hemorrhage
Extremities
Hemorrhage
Endarterectomy
Women's Rights
Carotid Endarterectomy
Carotid Stenosis
Reperfusion

Keywords

  • Carotid artery stenosis
  • Carotid endarterectomy
  • Transient ischemic attack

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Neuroscience(all)
  • Radiological and Ultrasound Technology

Cite this

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AB - 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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