Cerebral neoplasm simulating transient ischaemic attacks. A case report.

A 56-year-old woman with a 2-year history of recurrent attacks of paroxysmal expressive dysphasia mimicking transient ischaemic attacks was subsequently found to have a cerebral neoplasm. It is suggested that recurrent paroxysmal neurological deficit does not necessarily imply a vascular cause, but may be a feature of cerebral neoplasm, and that these patients should, in addition to other noninvasive diagnostic procedures, undergo computed tomography to exclude potentially treatable conditions.