ArticleJACC. Case reports2025
Limb-Shaking Transient Ischemic Attacks in a Case of Brachiocephalic Artery Stenosis.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
backgroundLimb-shaking transient ischemic attacks represent an atypical presentation of transient ischemic attacks usually seen with carotid artery stenosis but may occur in severe brachiocephalic stenosis. CASE SUMMARY: We present the case of a 67-year-old woman with severe brachiocephalic artery stenosis but no significant right carotid disease with a 2-year history of alternating movements of the left upper and lower limbs with postural changes culminating in a large-vessel stroke, with resolution of the alternating movements after a left-to-right subclavian bypass. DISCUSSION: Only 4 cases of limb-shaking transient ischemic attacks secondary to subclavian/brachiocephalic artery stenosis have been described in literature. Cardiologists often see these patients in the vascular clinic. If recognition of these shaking movements in the context of transient ischemic attacks is missed, it can lead to a delay in appropriate intervention, thereby increasing the future risk of stroke. TAKE-HOME MESSAGES: Proximal vessel stenosis can lead to TIAs. Timely recognition and early intervention (preferably surgical) in cases of brachiocephalic/subclavian stenosis with LSTIAs is important as it can be crucial for stroke prevention.
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