J Korean Neurol Assoc.  2006 Aug;24(4):356-358.

Recurrent Transient Ischemic Attacks Caused by Postprandial Hypotension in a Patient with Occlusion of Right Internal Carotid Artery

• Kim J
• Jung Y
• Han SW
• Lee BI
• Heo K

Abstract

We report a 72-year-old man suffering from recurrent attacks of transient drowsy mentality during meal or on orthostatic body position. Markedly disturbed collateral blood flow to right hemisphere was observed on conventional cerebral angiography. Acute and old ischemic lesions in the right internal borderzone area were also noticed on magnetic resonance image. Postprandial and orthostatic hypotension in the present case could be the cause of the recurrent neurological deficit developed in the primarily disturbed collaterals in the right middle cerebral territory.

Keyword

Postprandial hypotension; Orthostatic hypotension; Transient ischemic attack

MeSH Terms

Aged
Carotid Artery, Internal*
Cerebral Angiography
Humans
Hypotension*
Hypotension, Orthostatic
Ischemic Attack, Transient*
Meals