An MRI scan is most often used. This type of scan uses a strong magnetic field and radio waves to create an image of your brain.
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.
In a previously reported study, 31% of TIA patients showed an acute infarction visualized by MRI including DWI. A strong association was found between neurological symptoms, speech dysfunction and weakness and an evidence of acute infarction by MRI including DWI (Al-Khaled and Eggers, 2013).
Clinical diagnosis of TIA
According to the World Health Organization criteria proposed in 1988, transient ischemic attack (TIA) is defined as rapidly developed clinical signs of focal or global disturbance of cerebral function, lasting less than 24 hours, with no apparent non-vascular cause [8].
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. An MRI scan usually shows a stroke sooner.
Dipyridamole and aspirin — Dipyridamole is a medication that may be given after a TIA to reduce the risk of stroke. It is often given as an extended-release form, combined with aspirin (aspirin-extended-release dipyridamole, brand name: Aggrenox). It is taken two times per day.
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.
Many people may recognize classical signs of a TIA. However, recent research suggests that less common symptoms may go unnoticed. That's unfortunate, because a TIA is an important sign that all is not right with the brain's health.
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.
TIAs are often an early warning sign that a person is at risk of stroke. About 1 in 3 people who has a TIA goes on to experience a subsequent stroke. The risk of stroke is especially high within 48 hours after a 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.
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.
However, mounting evidence suggests that an MRI within 1 to 2 days of a TIA could spot evidence of a stroke that may disappear in time. MRIs can detect tissue damage even when symptoms are temporary. The sophisticated imaging technique can detect stroke lesions that may become less apparent quickly.
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.
A person who experiences a TIA may have a 10-20 percent risk of having a full stroke in the next seven days depending on the cause, Streib said. The American Stroke Association confirms that 9 to 17 percent of people who have had a TIA have a stroke within 90 days.
Some people might have more than one TIA and it is possible to have several TIAs in a short space of time (for example, several TIAs within a day).
A transient ischemic attack (TIA) is a stroke that usually lasts under five minutes, and symptoms and the cause (blood clot) resolve on their own. But just because the symptoms disappear, does not mean a TIA should be ignored.
While partial seizures and complicated migraine are the most common and important TIA/stroke mimics, on occasion panic attacks, conversion disorder, vertigo, and syncope can also be confused with TIA. Panic attacks occasionally involve focal neurologic symptoms, but more typically the symptoms are vague and random.
It has been found in a study that stress apparently raises the risk of a Stroke or Transient Ischemic Attack (TIA) by 59%. A TIA is a mini-stroke caused by a temporary blockage of blood flow to the brain.
The signs of a stroke often appear suddenly, but that doesn't mean that you won't have time to act. Some people will experience symptoms such as headache, numbness or tingling several days before they have a serious stroke.
If you have had a TIA or an ischaemic stroke you will almost always need to take blood-thinners. There are two types of blood thinners: Antiplatelet medication. Antiplatelet medicines stop tiny blood cells called platelets from sticking together and forming a blood clot.
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.
You're not legally allowed to drive for a month after a stroke or transient ischaemic attack (TIA). Some people have to stop driving for longer, or will not be able to drive again.