Limb shaking is a rare symptom of transient ischemic attack (TIA), and it is sometimes misdiagnosed as partial seizure. The pathological mechanism of the limb shaking remains unknown. I present a case of a 58-year-old man with crescent limb shaking TIA, caused by the severe right internal carotid artery stenosis. After the emergent carotid endarterectomy (CEA) was performed, the limb shaking TIA disappeared. Limb shaking TIA should be treated like a standard TIA.
