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Transient Ischemic Attack Shakes: A Case Report
Sheri P Walls1, Tinuola Andre1, Alexander Adetunji2
1Internal Medicine, Piedmont Athens Regional, Athens, USA.
Cureus
|September 29, 2022
Summary
Transient ischemic attack (TIA) shakes mimic epilepsy, risking misdiagnosis. This case highlights diagnosing TIA shakes in a patient with bilateral carotid stenosis presenting with seizure-like symptoms.
Area of Science:
- Neurology
- Vascular Neurology
Background:
- Neurological presentations require broad differential diagnoses.
- Epilepsy and transient ischemic attacks (TIAs) can share similar symptoms, leading to potential misdiagnosis.
Observation:
- A 75-year-old male with comorbidities presented with limb shaking and seizure-like symptoms.
- Physical examination revealed neurological findings necessitating a comprehensive diagnostic approach.
Findings:
- The patient was diagnosed with bilateral carotid stenosis.
- The clinical presentation was ultimately attributed to "TIA Shakes" secondary to carotid stenosis.
Implications:
- Accurate diagnosis is crucial for effective patient management.
- Recognizing TIA shakes as a differential for seizure-like activity is important for neurologists.
- This case underscores the need for thorough evaluation of neurological symptoms in patients with vascular risk factors.
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