Gonring Dakota, Bartko Jonathan, Wehbe Mohammad Rachad, Stoner Michael, Sandness David, Mix Doran
Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Department of Surgery, Case Western Reserve University, Cleveland, OH.
J Vasc Surg Cases Innov Tech. 2023 Aug 2;9(3):101277. doi: 10.1016/j.jvscit.2023.101277. eCollection 2023 Sep.
Limb shaking transient ischemic attack is a rare disease manifestation typically caused by carotid stenosis but rarely caused by flow-limiting lesions involving more proximal vasculature. We demonstrate a case of limb shaking transient ischemic attack secondary to innominate stenosis in a 69-year-old woman who presented after a left leg shaking spell that caused her to fall and fracture her ipsilateral tibia. She did not experience changes in mentation and did not show any evidence of a postictal period. After receiving a comprehensive workup, she successfully underwent revascularization with innominate artery stenting. Continuous retrograde aspiration with the Enroute system (Silk Road Medical) and carotid clamping were used for embolic protection.
肢体抖动性短暂性脑缺血发作是一种罕见的疾病表现，通常由颈动脉狭窄引起，但很少由累及更近端血管系统的血流限制性病变所致。我们报告一例69岁女性因无名动脉狭窄继发肢体抖动性短暂性脑缺血发作的病例，该患者在经历一次左腿抖动发作后摔倒，导致同侧胫骨骨折。她没有出现意识改变，也没有任何发作后时期的证据。经过全面检查后，她成功接受了无名动脉支架置入术进行血运重建。使用Enroute系统（丝路医疗公司）进行持续逆行抽吸和颈动脉夹闭以进行栓子保护。
