PT - JOURNAL ARTICLE AU - Yong Chuan Chee AU - Beng Hooi Ong TI - Recurrent transient heading disorientation heralding acute posterior cerebral artery (PCA) infarction AID - 10.1136/bmjno-2019-000009 DP - 2019 Jul 01 TA - BMJ Neurology Open PG - e000009 VI - 1 IP - 1 4099 - http://neurologyopen.bmj.com/content/1/1/e000009.short 4100 - http://neurologyopen.bmj.com/content/1/1/e000009.full SO - BMJ Neurol Open2019 Jul 01; 1 AB - Objective Heading disorientation is a type of pure topographical disorientation. Reported cases have been very few and its underlying mechanism remains unclear. We report an unusual presentation of a 60-year-old man with recurrent transient heading disorientation heralding an acute posterior cerebral artery infarction.Design Case report.Conclusion Acquired injury to the right retro-splenial region can result in a specific variant of topographical disorientation known as heading disorientation that may present as an atypical transient ischaemic attack-like symptom heralding acute cerebral infarction.