Cardiogenic embolism producing crescendo transient ischemic attacks

Patrick J. Geraghty, Jack Oak, Eric T. Choi

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Lateralizing, repetitive transient ischemic attacks are characteristic of symptomatic carotid bifurcation atherosclerotic plaques. We report a case in which a cardiogenic embolus, after lodging at the left carotid bifurcation, produced crescendo episodes of expressive aphasia and mild right upper extremity weakness. Complete neurological recovery was achieved following emergent carotid embolectomy and endarterectomy. This case demonstrates that the laminar nature of internal carotid blood flow may result in the localization of embolic events to a single region of the cerebral vasculature, regardless of the source lesion in the carotid artery. The role of endoluminal techniques in the diagnosis and management of such lesions is discussed.

Original languageEnglish
Pages (from-to)728-730
Number of pages3
JournalAnnals of Vascular Surgery
Issue number5
StatePublished - Sep 2005


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