Volume therapy in orthostatic transient ischemic attacks. | Zendy

Álvaro PascualLeone | Zendy; David C. Anderson | Zendy; David A. Larson | Zendy

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Volume therapy in orthostatic transient ischemic attacks.

Author(s) -

Álvaro PascualLeone,

David C. Anderson,

David A. Larson

Publication year - 1989

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/01.str.20.9.1267

Subject(s) - medicine , asymptomatic , orthostatic vital signs , stenosis , cardiology , intravascular volume status , radiology , blood pressure , hemodynamics

We report the case of an 83-year-old man with recurrent orthostatic transient ischemic attacks despite anticoagulation and crystalloid therapy. An initial cerebral angiogram revealed a nearly occluded right carotid artery with a string sign. Following aggressive volume expansion with albumin, the patient became asymptomatic. A second angiogram demonstrated the resolution of the carotid string sign and unmasked a high-grade, very tight, surgically approachable stenosis. The role of a high intravascular volume status is discussed.

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