“…The first of these episodes coincided with signs of ischaemia affecting the little finger of the right hand, leading Brain to propose that both the cerebral and digital events were due to emboli arising from the aorta. However, as we have discussed already in relation to Churchill's numerous previous strokes, 22,24–26,31 it seems at least as likely that the left cerebral ischaemia in April 1959 was also due to cerebral small vessel disease.…”