TIA Transient Ischemic Attack

Command:

This patient presents following an episode of slurred speech.

Please examine the patient and address any issues or concerns raised.

This young woman presented with an isolated transient episode of slurred
There was no headache in the history, this was on the background of recurrent miscarriages but there were no vascular risk factors.
Whilst there was a family history of cerebral vascular disease this was in an elderly relative and I do not think that this is pertinent to the case.
Examination revealed a normal pulse rate which was regular. There were no obvious cardiac murmurs and there was no carotid bruit.
While I did not formally assess lower limb, power gait and tandem gait were both normal and there were no other clear focal neurological deficits.
In summary, I think this patient has had a transient ischaemic attack.