What is causing crescendo transient ischemic attacks?

Can J Neurol Sci

Seaman Family MR Centre, Foothills Medical Centre, Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada.

Published: May 2003

Background And Methods: We discuss a case report from a patient who had symptoms of transient neurological deficits in the presence of a chronic subdural hematoma and severe carotid stenosis. Multi-modality imaging was used to guide management.

Results: The symptoms settled without carotid intervention and were presumed due to the subdural hematoma.

Conclusions: Severe symptomatic carotid stenosis is treated with carotid endarterectomy. In some patients with transient neurological deficits, the diagnosis is not as simple as first thought. Multi-modality imaging (MRI, TCD and CT) can help differentiate the causative lesion.

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