Anamnesis

Identification: Gender/Age: Female, 68 years

Medical History: Controlled arterial hypertension, mild vascular dementia

Medications: Losartan 50mg/day, Donepezil 5mg/day

Family History: Negative for migraine

History of Present Illness (HPI): Main symptom: Recurrent episodes of transient visual symptoms for 2 months

Characteristics of the episodes:

Duration: 20-30 minutes

Visual symptoms: Homonymous scintillating scotomas

Frequency: 2-3 times/week

No associated headache

Progression: Progression to episodes with paresthesias in the right hemibody

Physical/Neurological Examination:

General: Conscious, oriented

Neurological:

Mild recent memory deficit

Asymmetric reflexes (R>L)

No other focal deficits

Complementary Exams:

Cranial MRI:

Multiple cortical microhemorrhages (lobar distribution)

Moderate periventricular leukoaraiosis

MR Angiography: Excludes vascular malformations

CSF: Protein 60mg/dL (normal), no pleocytosis

Report this case — e.g. suspected re-identification risk.