Convulsive Syncopes in a Patient with Carotid Artery Disease

A 67-year-old male with a history of hypertension, diabetes mellitus, and coronary artery disease suffered from repeated faintings after he got up. His wife reported convulsions of all extremities during fainting and immediate reorientation. On admission neurological examination showed mild dysarthria, while medical examination results were normal. MR imaging revealed a small infarct in the borderzone between the territory of the right middle and posterior cerebral artery and a marked hypoperfusion of both hemispheres as compared to the cerebellum. Ultrasonographic studies of the cerebral arteries showed bilater…