Uncle Chen is now 52 years old, usually healthy, cheerful, big-hearted, full of care about anything attitude. One day in early winter, the north wind gusts, Uncle Chen is playing with the computer in the process of pleasure suddenly appeared in the right hand does not obey, quickly stand up to shake the upper arm, a moment the right hand and back to normal, Uncle Chen think playing computer time, limb sleepy, also to strike. At lunchtime, Uncle Chen told his partner, Auntie Wang, who is a meticulous person, that something was wrong, and that there was a lot of hemiplegia. Uncle Chen did not agree to go to the hospital at first, what is the big deal about this, it is just playing computer for a long time and his fingers are sleepy. After Auntie Wang’s patient persuasion, Uncle Chen went to the hospital and registered for neurology. Once Dr. Zhang listened to Uncle Chen’s and Auntie Wang’s medical history, he was immediately alerted and realized that this was a transient ischemic attack, a precursor to cerebral thrombosis, which required immediate hospitalization. Dr. Zhang’s patient explanation still aroused Chen’s attention and he went through the hospitalization procedure under the supervision of Wang’s aunt. After the hospitalization of Zhang Daopei of Zhengzhou People’s Hospital Brain Hospital, the attending doctor carried out active treatment such as prevention of thrombosis, while carrying out a detailed examination of Uncle Chen’s condition, including cerebrovascular related examinations. After hospitalization, Uncle Chen did not have another attack of right hand disorder, but brain CT found old cerebral infarction foci, carotid ultrasound found plaque formation in carotid artery, cerebral vascular ultrasound (TCD) found localized cerebral artery stenosis, and lipid test found lipid metabolism disorder (high total cholesterol and high LDL cholesterol). Dr. Zhang analyzed Dr. Chen’s condition in depth and pointed out that the right hand disorder was not a coincidental phenomenon, but rather a cerebral ischemic attack based on relatively serious cerebrovascular lesions, and his own risk factors included long-term heavy smoking, high-fat and high-salt diet, less exercise and irregular life. Through the patient and layman’s explanation of many visits to the hospital, Uncle Chen understood his condition, but after 4 days of treatment, the condition has not been in the attack, how Uncle Chen said he could not stay, had to go home, the doctor and family persuasion failed, Uncle Chen still discharged, the doctor’s advice full of promise, do not smoke, eat less fat, regular life, more exercise, take medication on time, etc.. One night at 10 o’clock in a peaceful, happy atmosphere Uncle Chen left the neurology ward of the hospital. Unfortunately, 10 days later in the ward again to see the figure of Uncle Chen, Dr. Zhang greeted Uncle Chen only half a smile and no sound, next to Auntie Wang full of melancholy explained to the old Chen last night suddenly slurred speech, spitting words slowly, the evening emergency came to the hospital. The last time I went home, the doctor’s instructions all to the back of the mind, but also do not take medication on time, smoking or as usual, or stay up late at night, every day can not leave the big fat meat. Uncle Chen this time with a shameful face, regretfully stammering, “did not … did not … did not listen to the doctor … doctor … words, they really suffer from cerebral thrombosis, this time there is no last time so lucky symptoms for a while there is a return to normal. Hey! This can be crippled, only slowly treatment, listen to the doctor’s orders, take medication and injections on time, change the bad habits, but I do not know when to get well.” It took the doctor a long time to listen clearly to what Uncle Chen was saying. Uncle Chen’s extreme helplessness was revealed in his non-fluent speech. Transient ischemic attack, or TIA for short, is a very dangerous precursor of cerebral thrombosis, with common symptoms including numbness and weakness of one limb, dizziness, unfavorable speech and unclear vision, etc. It often does not attract the patient’s attention and misses the best time for treatment, eventually forming cerebral infarction, bringing inconvenience to treatment, and most of them leave different degrees of sequelae, bringing a heavy burden to families and individuals. The condition of Uncle Chen is a case worthy of reflection. The presence of risk factors for cerebrovascular disease, typical clinical manifestations, and a detailed intracranial and extracranial vascular assessment revealed high-risk evidence of stroke with cerebral artery stenosis and atherosclerotic vulnerable plaques, requiring active secondary prevention (regular antiplatelet, statins and lifestyle interventions, etc.) to minimize stroke attacks, not The consequences of a non-formal, full course of treatment are inevitable. It is important for the middle-aged and elderly to consult a doctor when symptoms of suspected ischemic attack are detected, and to conduct risk factor screening and careful vascular assessment to facilitate better secondary prevention of stroke and to avoid missing the best time for treatment, which may cause lifelong regrets.