Migraine-like aura, particularly late-onset aura, warrants thorough investigation to rule out secondary causes. This phenomenon is a significant and often initial symptom of cerebral amyloid angiopathy (CAA) and can serve as an early indicator of the disease in hereditary cases, potentially preceding symptomatic intracerebral hemorrhage (ICH) by several years. We present a case of a 72-year-old man who experienced typical episodes of aura characterized by visual disturbances and transient weakness, which began a few weeks before his medical evaluation. Blood-sensitive magnetic resonance imaging (MRI) is crucial for accurately diagnosing CAA, as demonstrated in this patient. Neurological symptoms associated with late-onset migraine aura necessitate appropriate investigations to identify any secondary causes. Management of patients with CAA and migraine-like symptoms focuses on treating underlying risk factors, monitoring for complications, and sometimes employing standard migraine treatments if warranted. However, caution is advised, as certain migraine treatments may increase the risk of hemorrhage in patients with CAA.