Hi @kkglasman , I joined this group last year after my husband had a posterior inferior cerebellar infarct with pretty much the same symptoms as you. He was also 51. I thought he'd eaten something wrong the evening before! Good on your wife for recognising the signs, since they aren't the typical ones for stroke. My husband couldn't walk for a few days but recovered quickly in the hospital. As far as I know they only gave him aspirin and some statins. Despite extensive testing, same as in your case they did not discover the cause. They put a cardiac monitor for a day, discovered I think some leakage in his heart valves. But the cardiologist said it wasn't a concern, and I don't know whether to get a second opinion. We suspect he also suffered two transient ischemic attacks a couple of years prior, during which he experienced sudden but fleeting split vision. These episodes only lasted a minute or so each and he thought he was having vision issues but the opthamalogist just dismissed them as his sight tests turned out ok.