====== Hemodynamic failure ====== Hemodynamic failure is a relatively rare cause of [[transient ischemic attack]]s (TIA). In these cases, [[TIA]] may be triggered by a change from the supine into the upright position in patients with compromised hemispheric perfusion and exhausted cerebral vasoreactivity following severe obstruction of the [[internal carotid artery]] (ICA) ((Baumgartner RW, Baumgartner I. Vasomotor reactivity is exhausted in transient ischaemic attacks with limb shaking. J Neurol Neurosurg Psychiatry. 1998 Oct;65(4):561-4. PubMed PMID: 9771785; PubMed Central PMCID: PMC2170272. )).