Abstract: Internal carotid artery (ICA) vasospasm can be caused by mechanical manipulation1 or drugs2 or in association with migraines.3 Recurrent spontaneous ICA vasospasm is a rare cause of stroke. We report a case of recurrent TIA caused by alternating cervical ICA spasms. We also performed a MEDLINE search of previous publications in English from 1950 to August 2013. The search was performed with both text word searching and the appropriate MeSH headings of “carotid vasospasm” and “stroke,” “cerebrovascular accident,” “TIA,” or “brain attack.” The bibliographies of each of the retrieved articles with similar cases were all reviewed and relevant citations in these listings were evaluated for inclusion in the review.