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Updated: Mar 31, 2026

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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
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Limb-shaking transient ischemic attacks: Two case reports with unusual pathogenesis
Summary
Limb-shaking transient ischemic attacks (TIAs) can stem from causes beyond carotid stenosis. Our findings highlight essential thrombocytosis and severe anemia as potential triggers for these neurological events.
Area of Science:
- Neurology
- Vascular Medicine
- Hematology
Background:
- Limb-shaking transient ischemic attacks (TIAs) are typically linked to severe carotid stenosis causing transient regional cerebral hypoperfusion.
- The established pathogenesis involves focal cerebral ischemia due to significant occlusive vascular disease.
Purpose of the Study:
- To investigate and report on unusual pathogenic mechanisms underlying limb-shaking TIAs.
- To highlight alternative causes of cerebral hypoperfusion contributing to limb-shaking TIAs.
Main Methods:
- Case report analysis of two patients presenting with limb-shaking TIAs.
- Review of patient histories, diagnostic imaging (carotid angiography), and laboratory findings (platelet count, hemoglobin levels).
Main Results:
- Patient 1: A 73-year-old woman with essential thrombocytosis experienced resolved limb-shaking TIAs after antiplatelet therapy.
- Patient 2: A 56-year-old woman with severe anemia and bilateral carotid stenoses (>70%) had her limb-shaking TIAs cease after anemia correction.
Conclusions:
- Limb-shaking TIAs can arise from factors affecting oxygen delivery beyond carotid stenosis, such as platelet disorders and severe anemia.
- These cases broaden the understanding of TIA pathogenesis, emphasizing the role of systemic conditions impacting cerebral blood flow.
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