Transient ischemic attack (TIA) is the medical term for neurologic symptoms, such as weakness or numbness, which begin suddenly, resolve rapidly and completely, and are caused by a temporary lack of blood in an area of the brain. TIAs are common, affecting at least 240,000 people each year in the United States. Some people call TIAs "warning spells" because anyone who has a TIA is at risk for a stroke. As a result, it is important to be aware of the signs and symptoms of TIA and seek treatment as soon as possible. Here I present a case of rheumatoid arthritis who presented with TIA and also had a history of similar attacks in the past also. She responded to the treatment given.