Don't be fooled by TIA symptoms
Feb 26, · A ministroke can be difficult to identify, but a few symptoms may indicate that you’ve had one. The symptoms may be fleeting. The most common symptoms of a ministroke are: dysphasia, Author: Jeannette Belliveau. Mar 30, · TIA mini stroke symptoms can come in many forms, and are often brushed aside. Your leg crumples under you as you walk down the sidewalk. "That trick knee of mine is acting up again," you think. Or you're suddenly overcome by a dizzy spell.
A prompt evaluation of your symptoms is vital in diagnosing the cause of your TIA and deciding on a method of treatment. To help determine the cause of your TIA and to assess your risk of a stroke, your doctor may rely on the following:.
Physical exam and tests. Your doctor will perform a physical exam and a neurological exam. The doctor will test your vision, eye movements, speech and language, strength, reflexes, and sensory system. Your doctor may use a stethoscope to listen to the carotid artery in your neck. A whooshing sound bruit may indicate atherosclerosis.
Or your doctor may use an ophthalmoscope to look for cholesterol fragments or platelet fragments emboli in the tiny blood vessels of the retina at the back of your eye. Your doctor may check for risk factors of a stroke, including high blood what are the signs symptoms of a tia, high cholesterol levels, diabetes and in some how to train ur brain high levels of the amino acid homocysteine.
Your doctor may choose to perform a traditional echocardiography called transthoracic echocardiogram TTE. A TTE involves moving an instrument called a transducer across your chest.
The transducer emits sound waves that bounce off different parts of your heart, creating an ultrasound image. Or your doctor may choose to perform another type of echocardiography called a transesophageal echocardiogram TEE.
During a TEEa flexible probe with a transducer built into it is placed in your esophagus — the tube that connects the back of your mouth to your stomach. Because your esophagus is directly behind your heart, clearer, detailed ultrasound images can be created. This allows a better view of some things, such as blood clots, that might not be seen clearly in a traditional echocardiography exam. This procedure gives a view of arteries in your brain not normally seen in X-ray imaging.
A radiologist inserts a thin, flexible tube catheter through a small incision, usually in your groin. The what is the highest waterfall in the world is manipulated through your major arteries and into your carotid or vertebral artery.
Then the radiologist injects a dye through the catheter to provide X-ray images of the arteries in your brain. This procedure may be used in selected cases. Once your doctor has determined the cause of your transient ischemic attack, the goal of treatment is to correct the abnormality and prevent a stroke.
Depending on the cause of your TIAyour doctor may prescribe medication to reduce the tendency for blood to clot or may recommend surgery or a balloon procedure angioplasty. Doctors use several medications to decrease the likelihood of a stroke after a transient ischemic attack.
The medication selected depends on the location, cause, severity and type of TIA. Your doctor may prescribe:. Anti-platelet drugs. These medications make your platelets, one of the circulating blood cell types, less likely to stick together. When blood vessels are injured, sticky platelets begin to form clots, a process completed by clotting proteins in blood plasma.
The most frequently used anti-platelet medication is aspirin. Aspirin is also the what is exceptional customer experience expensive treatment with the fewest potential side effects.
An alternative to aspirin is the anti-platelet drug clopidogrel Plavix. Your doctor might prescribe aspirin and clopidogrel to be taken together for about a month after the TIA. Research shows that taking these two drugs together in certain situations reduces the risk of a future stroke more than taking aspirin alone. There may be certain situations when the duration of taking both medications together may be extended, such as when the cause of the TIA is a narrowing of a blood vessel located in the head.
Your doctor may consider prescribing Aggrenox, a combination of low-dose aspirin and the how to change my gmail email address drug dipyridamole, to reduce blood clotting.
The way dipyridamole works is slightly different from aspirin. These drugs include heparin and warfarin Coumadin, Jantoven. They affect clotting-system proteins instead of platelet function. Heparin is used for a short time and is rarely used in the management of TIAs. These drugs require careful monitoring. If atrial fibrillation is present, your doctor may prescribe a direct oral anticoagulant such as apixaban Eliquisrivaroxaban Xareltoedoxaban Savaysa or dabigatran Pradaxa.
In carotid endarterectomy, your surgeon opens the carotid artery to remove atherosclerotic plaques. If you have a moderately or severely narrowed neck carotid artery, your doctor may suggest carotid endarterectomy end-ahr-tur-EK-tuh-me.
This preventive surgery clears carotid arteries of fatty deposits atherosclerotic plaques before another TIA or stroke can occur. An incision is made to open the artery, the plaques are removed, and the artery is closed.
In selected cases, a procedure called carotid angioplasty, or stenting, is an option. This procedure involves using a balloon-like device to open a clogged artery and placing a small wire tube stent into the artery to keep it open. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this what are the signs symptoms of a tia. A TIA often is diagnosed in an emergency situation, but if you're concerned about your risk of having a stroke, you can prepare to discuss the subject with your doctor at your next appointment.
If you want to discuss your risk of a stroke with your doctor, write down and be ready to discuss:. Your doctor may recommend that you have several tests to check your risk factors. Your doctor should tell you how to prepare for the tests, such as fasting before having your blood drawn to check your cholesterol and blood sugar levels.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Don't delay your care at Mayo Clinic Schedule your appointment now for safe in-person care. This content does not have an English version. This content does not have an Arabic version. Diagnosis A prompt evaluation of your symptoms is vital in diagnosing the cause of your TIA and deciding on a method of treatment.
Carotid endarterectomy Open pop-up dialog box Close. Carotid endarterectomy In carotid endarterectomy, your surgeon opens the carotid artery to remove atherosclerotic plaques.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Daroff RB, et al. Ischemic cerebrovascular disease. In: Bradley's Neurology in Clinical Practice. Accessed Jan. Transient ischemic attack information page. National Institute of Neurological Disorders and Stroke.
Furie KL, et al. Initial evaluation and management of transient ischemic attack and minor stroke. TIA transient ischemic attack. American Stroke Association.
Definition, etiology, and clinical manifestations of transient ischemic attack. National Heart, Lung, and Blood Institute. Overview of secondary prevention of ischemic stroke. Yilong W, et al. Walls RM, et al. Stroke: Hope through research. Johnston SC, et al. Clopidogrel and aspirin in acute ischemic stroke and high-risk TIA. The New England Journal of Medicine.
Brown AY. Allscripts EPSi. Mayo Clinic. Quality check. The Joint Commission. Graff-Radford J expert opinion. Related Ministroke vs. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.
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Jan 08, · A transient ischemic attack, or TIA, is also known as a " mini-stroke." The symptoms of a TIA are the same as those of a stroke, but they do not persist over time. As with a stroke, the symptoms depend on the specific region and extent of the brain that is . Jan 31, · Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body. Sudden confusion, trouble speaking, or difficulty understanding speech. Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance, or lack of coordination. Dec 20, · The warning signs for a TIA are the same as a stroke and sudden onset of the following: Weakness, numbness or paralysis on one side of your body Slurred speech or difficulty understanding others Blindness in one or both eyes.
TIA mini stroke symptoms can come in many forms, and are often brushed aside. Your leg crumples under you as you walk down the sidewalk. Or you're suddenly overcome by a dizzy spell. You skipped lunch today, so low blood sugar is your excuse. While both of these explanations are entirely plausible, you may be missing the signs of a transient ischemic attack TIA if you jump to conclusions too quickly.
A TIA, or mini stroke , is a problem in the blood vessels of the brain that causes a temporary decrease in blood flow to a certain brain region. To appreciate a TIA, it helps to understand each of the separate terms in its name, says Dr. In fact, most TIAs are over within a few minutes. The term "ischemic" specifies that the symptoms result from an obstruction in blood flow, and "attack" refers to an isolated event.
The chain of events that leads to a TIA is basically the same for as a stroke, says Dr. But the same underlying causes are still present and are very likely to cause a stroke in the near future. Stroke and TIA symptoms can vary widely depending on the part of the brain that is affected. To further complicate matters, other neurological disruptions such as migraines, minor seizures, and low blood sugar can mimic TIA symptoms. The distinguishing feature is that a TIA or stroke stems from decreased blood flow located in one particular blood vessel in the brain.
Therefore, the effects are most likely to be localized to a specific brain function, such as speech or vision, or to cause isolated weakness in one limb or side of the body see the box below for warning signs. In contrast, conditions that mimic a TIA tend to create multiple or more widespread neurological effects, including fainting and generalized tingling in the arms and legs.
Because it can be difficult to distinguish problems resulting from reduced blood flow versus other brain disruptions, Dr. Caplan warns people to not just ignore the incident or attempt self-diagnosis. Instead, the best action is to be evaluated at a hospital TIA clinic if you have one nearby, or go to the emergency department to be checked out as soon as possible. The first step is determining whether your episode did indeed stem from lack of blood flow in the brain.
The doctor will rely heavily on your description of the timing, the duration, and your experience during the episode. Noting which part of your body was most affected can provide clues. You will also undergo brain-imaging tests, such as computed tomography CT or magnetic resonance imaging MRI scans that can show brain injury. Sometimes these tests include angiography, in which a special dye is injected into your veins before the scan to highlight areas where the blood flow may have been compromised.
Another red flag for a likely TIA is the presence of other cardiovascular risk factors. They also tend to be middle-aged or older; to have diabetes, high blood pressure, and abnormal cholesterol; to smoke; and to get little exercise," says Dr.
When treating TIAs, the ultimate goal is to prevent a full-fledged stroke. Since it's hard to know in the moment the extent of the blockage, you may be given a clot-dissolving drug immediately. If the event is truly a stroke, ideally the medicine needs to be given within three hours after your symptoms start for it to be most effective. Ongoing treatments will include anti-clotting medications and drugs to lower blood cholesterol. If one of your carotid arteries found on either side of the neck is significantly narrowed, you may have a procedure to correct the problem.
This procedure—carotid endarterectomy or carotid artery stenting—may help prevent future TIAs or strokes. Taking steps to reduce TIA risk factors is also critical. Lifestyle habits eating a healthy diet, getting regular exercise, and not smoking are a central part of any treatment plan.
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