The clinical picture in 11 patients was characterized by: (1) persistent hypertension and systemic vascular disease; (2) acute strokes; (3) subacute accumulation of focal
[ncbi.nlm.nih.gov]
Remember, complete occlusion of the carotid artery will not have a bruit.
[dartmouth.edu]
scotoma, vertigo, paresthesias, paresis, etc) typically develops gradually over several minutes, lasts less than 60 minutes, and occurs before, during, or after headache
[strokecenter.org]