Transient ischemic attacks
A transient ischemic attack (TIA) is a transient stroke that lasts only a few minutes. It occurs when the blood supply to part of the brain is briefly interrupted. TIA symptoms, which usually occur suddenly, are similar to those of stroke but don’t last as long. Most symptoms of a TIA disappear within an hour, although they may persist for up to 24 hours.
- Numbness or weakness in the face, arm or leg, especially on one side of the body
- Confusion or difficulty in talking or understanding speech
- Trouble seeing in one or both eyes
- Difficulty with walking, dizziness or loss of balance and coordination
Because there is no way to tell whether symptoms are from a TIA or an acute stroke, you should assume that all stroke-like symptoms signal an emergency. Do not wait to see whether your symptoms go away. A prompt evaluation (within 60 minutes) is necessary to identify the cause of the TIA and determine appropriate therapy.
Depending on your medical history and the results of a medical examination, your doctor may recommend drug therapy or surgery to reduce the risk of stroke if you have had a TIA. The use of antiplatelet agents, particularly aspirin, is a standard treatment for patients at risk for stroke. People with atrial fibrillation (irregular beating of the heart) may be prescribed anticoagulants.
TIAs are often warning signs that a person is at risk for a more serious and debilitating stroke. About one-third of people who have a TIA will have an acute stroke some time in the future. Many strokes can be prevented by heeding the warning signs of TIAs and treating underlying risk factors.
The most important treatable factors linked to TIAs and stroke are high blood pressure, cigarette smoking, heart disease, carotid artery disease, diabetes and heavy use of alcohol. Lifestyle changes such as eating a balanced diet, maintaining healthy weight, exercising and enrolling in smoking and alcohol cessation programs can help reduce these factors.