You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not.
Signs of stroke can show up on an MRI for years after the initial event. If the symptoms were mild, a person may not know they had a stroke until long afterward.
Diagnosis and Tests
The doctor will do some simple quick checks to test your vision, muscle strength, and ability to think and speak. Diagnostic testing consists of either a computed tomogram (CT) or magnetic resonance imaging (MRI) scan of the brain and carotid arteries to determine the possible cause of the TIA.
Introduction: An infarct on brain MRI is often seen as gold standard when diagnosing ischemic stroke. Although MRI has high sensitivity in detecting a lesion shortly after ischemic stroke, this rapidly declines when time progresses.
The timing of brain MRI after a TIA or minor stroke greatly affects its diagnostic use. Compared with an MRI completed within 24 hours of the symptom onset, an MRI completed 90 days later frequently misses the symptomatic lesion.
Call 9-1-1 immediately if any of these signs of stroke appear: Numbness or weakness in the face, arm, or leg; Confusion or trouble speaking or understanding speech; Trouble seeing in one or both eyes; Trouble walking, dizziness, or problems with balance; severe headache with no known cause.
Our study has revealed that according to neurologists, the most consistent predictors for a diagnosis of TIA include negative symptoms (loss of motor, sensory, or visual function) and speech disturbance.
Symptoms to Watch For
You likely won't know for certain that you have suffered a silent stroke without receiving a brain scan like an MRI or CT scan. After a silent stroke, a brain scan can show small white spots that indicate the presence of lesions.
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. You may have an echocardiogram if your doctor thinks you may have a blood clot from the heart.
dizziness. confusion. difficulty understanding what others are saying. problems with balance and co-ordination.
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.
A “mini-stroke" may not cause permanent brain damage, but it's a warning sign that you could be at risk for a debilitating—or deadly—stroke. Approximately one in three American adults has experienced a symptom consistent with a “mini-stroke,” sometimes called a transient ischemic attack (TIA).
These brief episodes are transient ischemic attacks (TIA), sometimes called “mini-strokes.” They still should be taken seriously, because they tend to be signs of underlying serious conditions that can lead to a full stroke, even possibly in the few days following a TIA event if not evaluated and treated for a TIA.
A person's life expectancy after a mini stroke reduces by around 4% in the first year following the attack in comparison to people who have not had one. In the following 9 years, life expectancy reduces by 20%. These statistics come from a 2019 review .
Unlike a CT scan, which takes several hours to reveal any blockages of blood flow, an MRI can uncover any brain damage within an hour of the onset of the stroke symptoms. MRIs are also more accurate than CT scans since they are far more sensitive.
One of the most common stroke mimics is a seizure, which researchers believe account for as many as 20% of all stroke mimics. Other common stroke mimics include migraines, syncope, sepsis, brain tumor and metabolic derangement (low sodium or low blood sugar).
Usually brief, TIA symptoms can easily fly under the radar, going completely unnoticed or thought of simply as passing fatigue or dizziness, so it's critically important to be able to recognize its symptoms as they occur.
After your diagnosis, your physician or neurologist will likely refer you to a cerebrovascular neurosurgery practice, where they will perform an examination and diagnostic tests to evaluate the underlying cause and severity of your mini stroke.
Aspirin and other antiplatelet medicines
You'll probably be given low-dose aspirin straight after a suspected TIA. Aspirin works as an antiplatelet medicine. Platelets are blood cells that help blood to clot. Antiplatelet medicines work by reducing the ability of platelets to stick together and form blood clots.
Taking blood-thinning medication is often one of the main ways you can reduce your risk of a stroke if you have had a stroke or TIA, or have a heart condition. By reducing the risk of clots forming, they give you a much greater chance of recovering and staying healthy after a stroke.
Chronic stress can indirectly cause a stroke or TIA (transient ischemic attack or mini stroke). For instance, chronic stress can lead to high blood pressure, which is a known risk factor for stroke and heart disease. Stress can also cause inflammation in the arteries all over the body.