Conclusion
TCB is a diagnosis of exclusion. It is dramatic and rare complication of cerebral and coronary angiography. Though controversial, neurotoxicity of contrast medium and PRES have been suggested as the possible causes. Independent risk factors include chronic hypertension, large dosage of contrast medium and vertebral angiography. The condition shows complete recovery within hours to days with no residual neurological deficit. It requires supportive therapy; no evidence is available for the use of steroids. Embolic infarction as a complication of angiography should be ruled out with computed tomography, magnetic resonance and angiography immediately. Due to the dramatic presentation of the index case, radiologists and radiographers must be aware of TCB to avoid inutile measures.