{"id":"a6db08e4-2f80-41e3-ad07-1cfbb2eca12b","slug":"transient-ischemic-attack-in-elderly-patient-with-phace-syndrome","title":"Transient ischemic attack in elderly patient with PHACE syndrome","authors":["Yu Shimizu","Katsuhiro Tsuchiya","Hironori Fujisawa"],"abstract":"Background: Posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities (PHACE) is a rare congenital anomaly with a broad spectrum of clinical manifestations. Case Description: We describe a 75-year-old male with PHACE anomaly, aortic anomaly, malformation of brain, aplastic right carotid artery, and cervical vasculopathy. He presented with a transient ischemic attack with the left hemiparesis, a rare clinical presentation of the PHACE syndrome. He had an uneventful recovery and recently completed a 2-year follow-up after the superficial temporal artery to middle cerebral artery anastomosis. Conclusion: PHACE syndrome should be kept in mind, even in individuals of advanced age, in the instance of a TIA, especially in situations which may involve induced hypoperfusion.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/a6db08e4-2f80-41e3-ad07-1cfbb2eca12b/featured/hero-1781563761208.png","publishDate":"2019-09-27T00:00:00.000Z","doi":"10.25259/SNI_187_2019","categories":["Unique Case Observations","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2019/09/9675/SNI-10-188.pdf"}