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Related Experiment Videos

Volume therapy in orthostatic transient ischemic attacks.

A Pascual-Leone1, D C Anderson, D A Larson

  • 1Department of Neurology, University of Minnesota, Minneapolis.

Stroke
|September 1, 1989
PubMed
Summary
This summary is machine-generated.

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Recurrent transient ischemic attacks (TIAs) in an elderly man resolved with aggressive fluid resuscitation. This highlights the potential role of intravascular volume in managing certain cerebrovascular conditions.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Radiology

Background:

  • Orthostatic transient ischemic attacks (TIAs) pose a significant clinical challenge, particularly when refractory to standard treatments like anticoagulation.
  • The case involves an 83-year-old male experiencing recurrent TIAs despite conventional therapies.

Observation:

  • Initial cerebral angiography revealed a near-occlusion of the right carotid artery, characterized by a "string sign."
  • The patient's symptoms resolved following aggressive volume expansion using albumin.

Findings:

  • A follow-up angiogram demonstrated the complete resolution of the "string sign."
  • This resolution unmasked a high-grade, surgically accessible stenosis in the right carotid artery.

Implications:

Related Experiment Videos

  • The findings suggest that maintaining adequate intravascular volume may be crucial in managing specific types of carotid artery stenosis and associated TIAs.
  • This case underscores the importance of considering volume status in the diagnostic and therapeutic approach to cerebrovascular events.