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Stroke, Vol 20, 1267-1270, Copyright © 1989 by American Heart Association

ARTICLES

Volume therapy in orthostatic transient ischemic attacks

A Pascual-Leone, DC Anderson and DA Larson
Department of Neurology, University of Minnesota, Minneapolis.

We report the case of an 83-year-old man with recurrent orthostatic transient ischemic attacks despite anticoagulation and crystalloid therapy. An initial cerebral angiogram revealed a nearly occluded right carotid artery with a string sign. Following aggressive volume expansion with albumin, the patient became asymptomatic. A second angiogram demonstrated the resolution of the carotid string sign and unmasked a high-grade, very tight, surgically approachable stenosis. The role of a high intravascular volume status is discussed.

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