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Case Reports
. 2022 Nov 28;15(11):e245633.
doi: 10.1136/bcr-2021-245633.

Limb shaking TIA: an unusual presentation of a common condition

Namita Manocha  1 , Jungim Kwon  2 , Chris Douglass  3
Affiliations
Case Reports

Limb shaking TIA: an unusual presentation of a common condition

Namita Manocha et al. BMJ Case Rep. .

Abstract

First described by Fischer in 1962, the limb shaking syndrome is a haemodynamic transient ischaemic attack (TIA) clinically characterised by brief, dysrhythmic, flailing or jerking movements, involving limbs contralateral to an occlusion of the internal carotid artery (ICA), which occur with a change in posture such as standing from sitting. We present the case of a woman in her 60s who presented with left-sided weakness suggestive of right hemispheric stroke, with previous episodes of limb shaking TIAs, which were caused by significant cerebral hypo-perfusion due to a combination of postural hypotension and a significant stenosis of the left ICA.

Keywords: Epilepsy and seizures; Stroke.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Occluded right ICA on USS carotid Dopplers. ICA, internal carotid artery; USA, ultrasound.
Figure 2
Figure 2
(A–C) : Occluded right ICA on CT angiogram of carotid vessels. ICA, internal carotid artery.
See this image and copyright information in PMC

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