Document Detail

An unusual cause of transient neurologic deficits: compression of the carotid artery by a thyroid cystic nodule.
MedLine Citation:
PMID:  20123230     Owner:  NLM     Status:  MEDLINE    
We report a case of a 93-year-old man, who presented with limb-shaking transient ischemic attacks (TIAs) after orthostatic position change or turning his head to the left. The limb-shaking TIAs resulted from external compression of the carotid artery. Contrast-enhanced magnetic resonance angiography of the head and neck and Doppler ultrasound examination of the thyroid gland revealed a large cystic nodule in the right thyroid lobe, resulting in compression and posterior displacement of the right common carotid artery. Clinicians should be aware that limb-shaking TIAs can not only result from obstructive extracerebral or intracerebral artery disease, but also from external compression of the carotid artery.
Hilde M H Braakman; Stephanie A M Knippenberg; Bert-Jan de Bondt; Jan Lodder
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  19     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-04-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  73-4     Citation Subset:  IM    
Copyright Information:
(c) 2010 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Department of Neurology, Maastricht University Medical Center, Sittard, the Netherlands.
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MeSH Terms
Aged, 80 and over
Arterial Occlusive Diseases / diagnosis,  etiology*
Carotid Artery Diseases / diagnosis,  etiology*
Constriction, Pathologic
Contrast Media / diagnostic use
Cysts / complications*,  diagnosis
Ischemic Attack, Transient / etiology*
Magnetic Resonance Angiography
Thyroid Nodule / complications*,  diagnosis
Tremor / etiology*
Ultrasonography, Doppler
Reg. No./Substance:
0/Contrast Media

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