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CardiovascularICD-10: G45.9Approximately 240,000 TIAs occur in the US each year

Transient Ischemic Attack

Also known as: TIA, Mini-stroke

A transient ischemic attack is a temporary episode of neurological symptoms caused by a brief interruption of blood flow to the brain, spinal cord, or retina. Unlike a stroke, a TIA does not cause permanent brain damage, and symptoms typically resolve within minutes to hours. A TIA is a serious warning sign that a major stroke may occur and requires urgent medical evaluation.

Symptoms

Sudden weakness or numbness on one side of the face, arm, or leg
Sudden difficulty speaking or understanding speech
Sudden vision loss in one or both eyes
Sudden dizziness or loss of balance
Sudden severe headache
Symptoms that resolve within minutes to hours

Causes

  • Temporary blood clot blocking an artery supplying the brain
  • Atherosclerotic plaque causing transient arterial blockage
  • Blood clots from the heart due to atrial fibrillation
  • Carotid artery disease

Risk Factors

  • High blood pressure
  • Atrial fibrillation
  • Diabetes
  • High cholesterol
  • Smoking
  • Previous TIA or stroke

Diagnosis

  • Urgent neurological assessment
  • Brain imaging with CT or MRI
  • Carotid ultrasound or CT angiography
  • Echocardiogram and heart rhythm monitoring
  • Blood tests for cholesterol, glucose, and clotting factors

Treatment

  • Antiplatelet medications such as aspirin or clopidogrel
  • Anticoagulants for atrial fibrillation
  • Statin therapy for cholesterol management
  • Blood pressure-lowering medications
  • Carotid endarterectomy or stenting for significant carotid artery narrowing
  • Lifestyle modifications including diet and exercise

Prevention

  • Managing blood pressure, cholesterol, and blood sugar
  • Taking prescribed medications consistently
  • Quitting smoking
  • Regular physical exercise
  • Maintaining a healthy weight

When to See a Doctor

  • Any sudden stroke-like symptoms, even if they resolve quickly
  • TIA is a medical emergency requiring immediate evaluation
  • Previous TIA with new or recurring symptoms

Frequently Asked Questions

Related Conditions

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

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