Recurrent Sensory Transient Ischemic Attacks treated by Urgent Endovascular Revascularization

J Korean Neurol Assoc > Volume 23(5); 2005 > Article

Journal of the Korean Neurological Association 2005;23(5): 659-662.

응급 중재적 시술로 치료한 반복되는 감각성 일과성뇌허혈발작

손제용, 박경필 김대성 박규현 정대수

부산대학교 의과대학 신경과학교실

Recurrent Sensory Transient Ischemic Attacks treated by Urgent Endovascular Revascularization

Je-Yong Son

Department of Neurology, Pusan National University College of Medicine, Busan, Korea

Abstract

A 47-year-old man presented with recurrent transient right hemiparesthesia and right homonymous hemianopsia. The transient ischemic attacks (TIAs) may be related to hemodynamic disturbance caused by acute occlusion of the internal carotid artery with severe stenosis of the ipsilateral posterior cerebral artery. After urgent endovascular revascularization of the internal carotid artery, there were no further attacks. Our case suggests that repetitive sensory TIAs can be induced by a hemodynamic disturbance caused by a large artery stenosis, which can be prevented with urgent endovascular treatment.KeyWords:Transient ischemic attacks, Cerebral revascularization, Stents