A 57-year-old man had a history of recurrent transient ischemic attacks (TIAs) along with the history of diplopia for one week. During the previous year, he had reported three similar episodes that were interpreted as TIAs. The episodes were characterised by numbness and weakness of the right hemiface and upper limb along with dysarthria, each episode lasting for approximately 1-h.
Five months after the first attack, the patient noticed progressive worsening of gait and balance, gradual hearing loss, tremors of both hands, right hemifacial spasm, and memory disturbances. The patient had a past medical history of hypertension that was well-controlled with medication. His daily medical therapy included acetylsalicylic acid as the neurological symptoms had been ascribed to a cerebrovascular event; and, also on the basis of previous neuroimaging studies that had shown white matter…
