A 57-year-old right handed female with recently diagnosed migraine presented to casualty with sudden onset of left upper limb weakness lasting 10 min. She had no known vascular risk factors. 5 days prior to the admission she had weakness of her left upper limb lasting 5 min. Clinical examination revealed a right carotid bruit and an ejection systolic murmur best heard near the pulmonary area. Further investigations showed bilateral carotid stenois, stenosis of the left vertebral artery and also left subclavian artery. She was seen by a Rheumatologist. She was diagnosed with Takayasu's Arteritis and got symptomatically better with immunosuppressive therapy.
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