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Limb shaking TIA: an unusual presentation of a common condition
  1. Namita Manocha1,
  2. Jungim Kwon1 and
  3. Chris Douglass2
  1. 1Stroke Medicine, Salford Royal Hospitals NHS Trust, Salford, UK
  2. 2Manchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK
  1. Correspondence to Dr Namita Manocha; namita2807{at}


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.

  • Stroke
  • Epilepsy and seizures

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  • Contributors NM was responsible for designing and writing the manuscript. JK and CD were responsible for supervision, writing-review, editing of the manuscript. The consent from the patient was obtained by NM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.