Recurrent Transient Ischemic Attacks Caused by Postprandial Hypotension in a Patient with Occlusion of Right Internal Carotid Artery

J Korean Neurol Assoc > Volume 24(4); 2006 > Article

Journal of the Korean Neurological Association 2006;24(4): 356-358.

우측내경동맥 폐쇄를 지닌 환자에서 식후 저혈압으로 유발된 반복적인 일과성 뇌허혈증

김진권, 정요한 한상원 이병인 허 경

연세대학교 의과대학 신경과학교실

Recurrent Transient Ischemic Attacks Caused by Postprandial Hypotension in a Patient with Occlusion of Right Internal Carotid Artery

Jinkwon Kim

Department of Neurology, Yonsei University College of Medicine, Seoul, Korea

Abstract

We report a 72-year-old man suffering from recurrent attacks of transient drowsy mentality during meal or on orthostatic body position. Markedly disturbed collateral blood flow to right hemisphere was observed on conventional cerebral angiography. Acute and old ischemic lesions in the right internal borderzone area were also noticed on magnetic resonance image. Postprandial and orthostatic hypotension in the present case could be the cause of the recurrent neurological deficit developed in the primarily disturbed collaterals in the right middle cerebral territory.KeyWords:Postprandial hypotension, Orthostatic hypotension, Transient ischemic attack