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Are Limb‐Shaking Transient Ischemic Attacks a Risk Factor for Postendarterectomy Hemorrhage? Case Report and Literature Review
Author(s) -
Switzer Jeffrey A,
Nichols Fenwick T
Publication year - 2008
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2007.00172.x
Subject(s) - medicine , intracerebral hemorrhage , carotid endarterectomy , risk factor , stenosis , surgery , stroke (engine) , ischemia , complication , cardiology , anesthesia , subarachnoid hemorrhage , mechanical engineering , engineering
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.