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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.

|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.

Keywords:

and transient ischemic attack (tia)bilateral carotid stenosis stroke tia tia shake

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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.