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.
Most patients in the US and Canada receive a computed tomography (CT) scan in the 24 hours following a TIA or a non-disabling stroke – a stroke that has not caused long-term disability. A CT scan provides cross-sectional images of the brain, allowing a more in-depth analysis of blood circulation and tissue damage.
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.
The most important information for confirming a TIA is your story about the symptoms and when they happened. Symptoms can be caused by other problems, so the specialist doctor or nurse will listen carefully to you and confirm if you've had a TIA. You may have a brain scan, but not everyone needs a scan.
Strokes may not be seen on a CT scan for several reasons. It can sometimes take several hours for the brain to appear abnormal after the onset of stroke. The affected region may also be a part of the brain that CT scans do not image well, such as the cerebellum or the brainstem.
The scans were independently interpreted by four experts, who had no other patient information. Based only on the MRI scans, experts accurately diagnosed acute strokes 83 percent of the time. Using the CT scans, however, they were right just 26 percent of the time.
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.
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).
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).
Although a TIA should not have a long-term impact on your daily activities, you must stop driving immediately. If your doctor is happy that you have made a good recovery and there are no lasting effects after 1 month, you can start driving again.
Average life expectancy after a TIA
A 2019 research review states that people who experienced a TIA had a 4% lower relative survival rate in the first year after the attack. Over the next 9 years, the relative survival rate was 20% lower.
Unfortunately, diagnosing TIA can be difficult, as it depends on detailed history-taking; by definition, patients' symptoms have resolved at the time of assessment, and there is no established biomarker for TIA.
If a TIA is suspected, you should be offered aspirin to take straight away. This helps to prevent a stroke. Even if the symptoms disappear while you're waiting for an ambulance to arrive, you still need to be assessed in hospital. You should be referred to see a specialist within 24 hours of the onset of your symptoms.
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.
But, TIAs are a warning sign that you may have a true stroke in the coming days or months. Some people who have a TIA will have a stroke within 3 months. Half of these strokes happen during the 48 hours after a TIA. The stroke may occur that same day or at a later time.
Abstract. Background: Anxiety disorder sometimes arises secondary to transient ischemic attacks (TIA). But it rarely occurs with the symptoms of TIA as first and main clinical manifestation.
According to research that appeared in Stroke, an American Heart Association journal, middle-aged and older individuals with high levels of stress, depression, and hostility were subject to a significantly higher risk of stroke or TIA (Transient Ischemic Attack, commonly known as “mini-stroke”).
Symptoms of a TIA come on suddenly. You may feel perfectly fine one minute and then suddenly develop difficulty speaking or moving one side of your body. Sometimes the symptoms will come and go several times in a short period of time.
Fatigue can happen after any type of stroke, and you can have severe fatigue after a relatively mild stroke or a TIA. Even if you have made a full physical recovery, or your stroke was some time ago, fatigue can still be a problem.
Sleep is important for good health, especially for somebody recovering from a stroke. It plays a significant part in healing the brain and in aiding physical recovery.
age – although TIAs can happen at any age (including in children and young adults), they're most common in people over 55.
Large haemorrhages remain visible as such for 2–3 weeks. There is no “optimal” time to image stroke patients with CT and expect to show a definite infarct. Many infarcts do not become visibly hypodense until hours or even a day after the stroke, if ever.
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.