Transient ischaemic attacks related to carotid stenosis precipitated by straining, bending, and sneezing.

Abstract:

:Three patients are described in whom one or more carotid territory transient ischaemic attacks (TIAs) were preceded by sneezing, straining, or bending over. It is argued that the mechanism involved dislodgment of embolic material from the site of carotid atheroma. This mechanism should be considered as an alternative to paradoxical embolism when TIAs are precipitated by such physiological manoeuvres. Furthermore, TIAs should be added to the list of medical hazards associated with such events.

journal_name

Postgrad Med J

authors

Harrison MJ

doi

10.1136/pgmj.75.881.145

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

145-6

issue

881

eissn

0032-5473

issn

1469-0756

journal_volume

75

pub_type

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