Case explanation

The patient faced a neurologic attack - the aphasia she declared - which was finished at the time of the visit.
This transient attack, along with her hypertension crisis and other features of history are all consistent with a "transient ischaemic attack" known as TIA.

During TIA it is important to know high risk patients for CVA; based on ABCD2 score.
Since our patient earns 4 scores from ABCD2 (age,HTN,aphasia, duration less than an hour) she is considered high risk.