title: Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations.
abstract: Transient ischemic attack (TIA) is a transient neurological deficit of cerebrovascular origin without infarction which may last only for a short period and can have varying presentations. We report a case of 58-year-old male with presenting features of sudden onset transient vertical diplopia and transient rotatory nystagmus which self-resolved within 12 h. Patient had no history of any systemic illness. On investigating, hematological investigations and neuroimaging could not explain these sudden and transient findings. A TIA could possibly explain these sudden and transient ocular findings in our patient. This case report aims to highlight the importance of TIA for ophthalmologists. We must not ignore these findings as these could be warning signs of an impending stroke which may or may not be detected on neuroimaging. Thus, early recognition, primary prevention strategies, and timely intervention are needed.
authors.affiliation: Department of Ophthalmology, IGESI Hospital, Jhilmil, India.
authors.forename: Sparshi
authors.initials: S
authors.lastname: Jain
authors.affiliation: Department of Ophthalmology, Swami Dayanand Hospital, Shahadra, New Delhi, India.
authors.forename: Tishu
authors.initials: T
authors.lastname: Saxena
authors.affiliation: Department of Ophthalmology, IGESI Hospital, Jhilmil, India.
authors.forename: Sweta
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Ophthalmology, Swami Dayanand Hospital, Shahadra, New Delhi, India.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Singh
keywords: Stroke; transient ischemic attack; transient nystagmus; transient vertical diplopia