Case Presentation: An 82-year-old male with a history of hypertension, COPD, ischemic stroke, mild carotid stenosis, and hyperlipidemia presented with expressive aphasia, dysarthria, confusion, and left-sided weakness following a coughing spell. CT angiography revealed an acute infarct in the right posterior cerebral artery (PCA) territory, along with an irregular ruptured plaque in the proximal right [...]