Should I see a neurologist after a TIA?

Always treat a TIA as seriously as you would a stroke. "Even though the symptoms resolve, there might be damage to the brain, so you need to see a neurologist," Dr. Rost advises.
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Does a neurologist treat TIA?

We chose to study neurologists because they are considered stroke experts in most countries and because expertise is currently the “gold standard” for TIA diagnosis.
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Should you have an MRI after a TIA?

Brain magnetic resonance imaging (MRI) is the preferred and most sensitive modality after transient ischemic attack (TIA) or minor stroke. It should include diffusion-weighted imaging (DWI) and should be completed within 24 hours of symptom onset1,2; its use is 3-fold.
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Is TIA considered neurological?

A transient ischemic attack (TIA) is a temporary interruption in blood flow to the brain. The symptoms of TIA are identical to those of stroke, but by definition, the symptoms resolve in less than 24 hours without permanent neurological problems. Unfortunately, the diagnosis of TIA can only be made in hindsight.
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What tests are done after a TIA?

These may include MRI (magnetic resonance imaging) or CT (computed tomography), scans of the head, blood pressure measurements, blood tests to check clotting, blood sugar and cholesterol levels, ECG (electrocardiogram) to look for an irregular heart rhythm, ultrasound (Doppler scan) of the carotid arteries to check for ...
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After a Stroke or TIA: New Guidelines to Prevent Recurrence



Can a doctor tell if you have had a mini-stroke?

The only way to tell the difference between a ministroke and a stroke is by having a doctor look at an image of your brain with either a CT scan or an MRI scan. If you've had an ischemic stroke, it's likely that it won't show up on a CT scan of your brain for 24 to 48 hours.
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What are the chances of having a second TIA?

Transient ischemic attack and minor stroke are highly predictive of a subsequent disabling stroke within hours or days of the first event. The risk of subsequent stroke after a transient ischemic attack is between 2% and 17% within the first 90 days after the initial event.
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What is the major complication associated with a TIA?

The risk of stroke is highest within the first 3 months following a TIA, especially within the first few days. Within the first month, the average risk of stroke after a TIA ranges from 1 in 20 to 1 in 10.
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What conditions can mimic a TIA?

We will now consider in more detail some of the key TIA mimics likely to be encountered in clinical practice.
  • Migraine aura. ...
  • Seizures. ...
  • Syncope. ...
  • Peripheral vestibular disturbance. ...
  • Transient global amnesia. ...
  • Functional/anxiety disorder. ...
  • Amyloid 'spells' and cerebral convexity subarachnoid haemorrhage. ...
  • Structural brain lesions.
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What is the most common cause of TIA?

The underlying cause of a TIA often is a buildup of cholesterol-containing fatty deposits called plaques (atherosclerosis) in an artery or one of its branches that supplies oxygen and nutrients to the brain. Plaques can decrease the blood flow through an artery or lead to the development of a clot.
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Will a TIA show up on a brain scan?

Tests will be done to rule out a stroke or other disorders that may cause the symptoms: You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not. You may have an angiogram, CT angiogram, or MR angiogram to see which blood vessel is blocked or bleeding.
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What happens if a mini stroke goes untreated?

Even if a major stroke is avoided, repeated mini strokes can have a cumulative negative effect on one's brain health and cognitive function. In severe cases, vascular dementia may result from untreated cerebrovascular events.
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Does TIA require hospitalization?

You do not need to be admitted to hospital because of a TIA, but this is often done because of the absence of an alternative. Many TIA clinics now offer a “one-stop” service for which the patient is assessed, investigated (or investigated before the appointment), and given results at the same session.
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Can you fully recover from a TIA?

TIA can and does cause persistent symptoms that won't resolve without treatment. 95% of our patients experience statistically verified restoration of brain function after treatment at our clinic.
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Can a neurologist diagnose a stroke?

Yes. While some vascular neurologists may choose to focus on caring for stroke patients, their specialized training and expertise is in cerebrovascular diseases as a whole. That means they can also diagnose, treat and manage conditions like: Blood vessel malformations.
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What to expect after a mini stroke?

Commonly these included arm and limb weakness or numbness, slurred speech, memory problems, confusion and visual difficulties. In most cases the symptoms improved over time. Some people experienced just one residual symptom, whereas other people had a combination of different ones.
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What does a TIA feel like in your head?

However, it does involve many of the same signs and symptoms as a stroke. A person experiencing a TIA might feel sudden weakness or numbness on one side of the body, have slurred speech, have trouble seeing or talking, and feel confused. The person may experience a combination of these symptoms at the same time.
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Can dehydration cause a TIA?

Doctors now suggest severe dehydration, rather than blockage of an artery, may have caused Chiles to have a transient ischemic attack, or temporary decrease of blood flow to the brain.
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Can anxiety mimic a TIA?

When the interruption of blood flow is temporary, this is known as a transient ischemic attack, or TIA. As you say, anxiety attacks and all three types of stroke can share overlapping symptoms.
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Is a TIA considered a critical illness?

Is TIA (Transient Ischaemic Attack) covered by Critical Illness Cover. If you have experienced a TIA, it is unlikely that Critical Illness cover could be available to you through most insurance companies. It is unlikely that you will get full Critical Illness Cover.
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Can a TIA have lasting effects?

Around 70%reported that their TIA had long- term effects including memory loss, poor mobility, problems with speech and difficulty in understanding. 60%of people stated that their TIA had affected them emotionally.
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How long does it take to recover from a mini stroke?

Because mild strokes do not typically cause major impairments, recovery is usually fast. Sometimes recovery from a mild stroke can occur within 3-6 months.
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What is the approximate 7 day risk for stroke after TIA?

Meta-anal- yses of cohorts of patients with clinically diagnosed TIA have shown the short-term risk of stroke after TIA to be approxi- mately 3% at 2 days, 5% at 7 days, 8% at 30 days, and 9% at 90 days.
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Are mini strokes serious?

You might be having a transient ischemic attack (TIA), commonly referred to as a “mini stroke.” Don't let the word “mini” fool you: transient ischemic attacks (TIA) are a serious condition warning you that a larger stroke may be coming- and soon.
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How long after a TIA can you drive?

You must stop driving for at least 1 month after a transient ischaemic attack ( TIA ) or mini-stroke. This includes amaurosis fugax or retinal artery fugax. You can restart only when your doctor tells you it is safe.
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