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__NOTOC__
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{{Transient ischemic attack}}
{{Transient ischemic attack}}
{{CMG}}
{{CMG}}{{AE}}{{AA}}


==Overview==
==Overview==
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==History and Symptoms==
==History and Symptoms==
Symptoms begin suddenly, last only a short time (from a few minutes to 1 - 2 hours), then disappear completely. They may occur again at a later time. Symptoms usually occur on the same side of the body if more than one body part is involved.
Symptoms begin suddenly, last only a short time (from a few minutes to 1 - 2 hours), then disappear completely. They may occur again at a later time. Symptoms usually occur on the same side of the body if more than one body part is involved. Patients suffering from TIA may present with one or more of the following typical or atypical symptoms:<ref name="pmid1355211">{{cite journal| author=Koudstaal PJ, Algra A, Pop GA, Kappelle LJ, van Latum JC, van Gijn J| title=Risk of cardiac events in atypical transient ischaemic attack or minor stroke. The Dutch TIA Study Group. | journal=Lancet | year= 1992 | volume= 340 | issue= 8820 | pages= 630-3 | pmid=1355211 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1355211  }} </ref><ref name="pmid21640301">{{cite journal| author=Sorensen AG, Ay H| title=Transient ischemic attack: definition, diagnosis, and risk stratification. | journal=Neuroimaging Clin N Am | year= 2011 | volume= 21 | issue= 2 | pages= 303-13, x | pmid=21640301 | doi=10.1016/j.nic.2011.01.013 | pmc=3109304 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21640301  }} </ref><ref name="pmid18655918">{{cite journal| author=Lewandowski CA, Rao CP, Silver B| title=Transient ischemic attack: definitions and clinical presentations. | journal=Ann Emerg Med | year= 2008 | volume= 52 | issue= 2 | pages= S7-16 | pmid=18655918 | doi=10.1016/j.annemergmed.2008.05.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18655918  }} </ref><ref name="pmid17903968">{{cite journal| author=Inoue T, Kimura K, Minematsu K, Yamaguchi T, Japan Multicenter Stroke Investigators' Collaboration (J-MUSIC)| title=Clinical features of transient ischemic attack associated with atrial fibrillation: analysis of 1084 TIA patients. | journal=J Stroke Cerebrovasc Dis | year= 2004 | volume= 13 | issue= 4 | pages= 155-9 | pmid=17903968 | doi=10.1016/j.jstrokecerebrovasdis.2004.06.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17903968  }} </ref>
 
===Typical Symptoms===
A TIA is different from a stroke. However, the symptoms of TIA are the same as the symptoms of a stroke and include the sudden development of:
Typical symptoms may help determine to localize the vascular territory involved in patients with TIA:<ref name="pmid1355211">{{cite journal| author=Koudstaal PJ, Algra A, Pop GA, Kappelle LJ, van Latum JC, van Gijn J| title=Risk of cardiac events in atypical transient ischaemic attack or minor stroke. The Dutch TIA Study Group. | journal=Lancet | year= 1992 | volume= 340 | issue= 8820 | pages= 630-3 | pmid=1355211 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1355211  }} </ref><ref name="pmid21640301">{{cite journal| author=Sorensen AG, Ay H| title=Transient ischemic attack: definition, diagnosis, and risk stratification. | journal=Neuroimaging Clin N Am | year= 2011 | volume= 21 | issue= 2 | pages= 303-13, x | pmid=21640301 | doi=10.1016/j.nic.2011.01.013 | pmc=3109304 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21640301  }} </ref><ref name="pmid18655918">{{cite journal| author=Lewandowski CA, Rao CP, Silver B| title=Transient ischemic attack: definitions and clinical presentations. | journal=Ann Emerg Med | year= 2008 | volume= 52 | issue= 2 | pages= S7-16 | pmid=18655918 | doi=10.1016/j.annemergmed.2008.05.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18655918  }} </ref><ref name="pmid17903968">{{cite journal| author=Inoue T, Kimura K, Minematsu K, Yamaguchi T, Japan Multicenter Stroke Investigators' Collaboration (J-MUSIC)| title=Clinical features of transient ischemic attack associated with atrial fibrillation: analysis of 1084 TIA patients. | journal=J Stroke Cerebrovasc Dis | year= 2004 | volume= 13 | issue= 4 | pages= 155-9 | pmid=17903968 | doi=10.1016/j.jstrokecerebrovasdis.2004.06.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17903968  }} </ref><ref name="pmid24157558">{{cite journal| author=Kim JS| title=Symptoms of transient ischemic attack. | journal=Front Neurol Neurosci | year= 2014 | volume= 33 | issue=  | pages= 82-102 | pmid=24157558 | doi=10.1159/000351905 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24157558  }} </ref>
 
* Muscle weakness of the face, arm, or leg (usually only on one side of the body)
* Muscle weakness of the face, arm, or leg (usually only on one side of the body)
* Numbness or tingling on one side of the body
* Numbness or tingling on one side of the body
* Trouble speaking or understanding others who are speaking
* Difficulty speaking or understanding others who are speaking
* Problems with eyesight (double vision, loss of all or part of vision)
* Double vision or loss of all or part of vision
* Changes in sensation, involving touch, pain, temperature, pressure, hearing, and taste
* Changes in sensation, involving touch, pain, temperature, pressure, hearing, and taste
* Change in alertness (sleepiness, less responsive, unconscious, or coma)
* Change in alertness (sleepiness, less responsive, unconscious, or coma)
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* Lack of control over the bladder or bowels
* Lack of control over the bladder or bowels
* Inability to recognize or identify sensory stimuli (agnosia)
* Inability to recognize or identify sensory stimuli (agnosia)
===Atypical Symptoms===
Atypical symptoms are focal but may not specify underlying cause or vessel involved:<ref name="pmid1355211">{{cite journal| author=Koudstaal PJ, Algra A, Pop GA, Kappelle LJ, van Latum JC, van Gijn J| title=Risk of cardiac events in atypical transient ischaemic attack or minor stroke. The Dutch TIA Study Group. | journal=Lancet | year= 1992 | volume= 340 | issue= 8820 | pages= 630-3 | pmid=1355211 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1355211  }} </ref><ref name="pmid21640301">{{cite journal| author=Sorensen AG, Ay H| title=Transient ischemic attack: definition, diagnosis, and risk stratification. | journal=Neuroimaging Clin N Am | year= 2011 | volume= 21 | issue= 2 | pages= 303-13, x | pmid=21640301 | doi=10.1016/j.nic.2011.01.013 | pmc=3109304 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21640301  }} </ref><ref name="pmid18655918">{{cite journal| author=Lewandowski CA, Rao CP, Silver B| title=Transient ischemic attack: definitions and clinical presentations. | journal=Ann Emerg Med | year= 2008 | volume= 52 | issue= 2 | pages= S7-16 | pmid=18655918 | doi=10.1016/j.annemergmed.2008.05.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18655918  }} </ref><ref name="pmid17903968">{{cite journal| author=Inoue T, Kimura K, Minematsu K, Yamaguchi T, Japan Multicenter Stroke Investigators' Collaboration (J-MUSIC)| title=Clinical features of transient ischemic attack associated with atrial fibrillation: analysis of 1084 TIA patients. | journal=J Stroke Cerebrovasc Dis | year= 2004 | volume= 13 | issue= 4 | pages= 155-9 | pmid=17903968 | doi=10.1016/j.jstrokecerebrovasdis.2004.06.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17903968  }} </ref><ref name="pmid24157558">{{cite journal| author=Kim JS| title=Symptoms of transient ischemic attack. | journal=Front Neurol Neurosci | year= 2014 | volume= 33 | issue=  | pages= 82-102 | pmid=24157558 | doi=10.1159/000351905 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24157558  }} </ref>
*Movement of symptoms from one part to the other without crossing midline
*Gradual worsening of pre existing mild symptoms
*Isolated vision loss in one or both eyes
*Isolated sensory symptoms such as tingling, numbness
*Isolated brain stem symptoms such as vomiting, dizziness
*Presence of identical symptoms over the period of one year


==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Primary care]]

Latest revision as of 00:29, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

Symptoms vary widely from person to person depending on the area of the brain involved. The most frequent symptoms include temporary loss of vision (typically amaurosis fugax), difficulty speaking (dysarthria), weakness on one side of the body (hemiparesis), numbness usually on one side of the body, and loss of consciousness. If there are neurological symptoms persisting for more than 24 hours, it is classified as a cerebrovascular accident (stroke).

History and Symptoms

Symptoms begin suddenly, last only a short time (from a few minutes to 1 - 2 hours), then disappear completely. They may occur again at a later time. Symptoms usually occur on the same side of the body if more than one body part is involved. Patients suffering from TIA may present with one or more of the following typical or atypical symptoms:[1][2][3][4]

Typical Symptoms

Typical symptoms may help determine to localize the vascular territory involved in patients with TIA:[1][2][3][4][5]

  • Muscle weakness of the face, arm, or leg (usually only on one side of the body)
  • Numbness or tingling on one side of the body
  • Difficulty speaking or understanding others who are speaking
  • Double vision or loss of all or part of vision
  • Changes in sensation, involving touch, pain, temperature, pressure, hearing, and taste
  • Change in alertness (sleepiness, less responsive, unconscious, or coma)
  • Personality, mood, or emotional changes
  • Confusion or loss of memory
  • Difficulty swallowing
  • Difficulty writing or reading
  • Lack of coordination and balance, clumsiness, or trouble walking
  • Abnormal sensation of movement (vertigo) or dizziness
  • Lack of control over the bladder or bowels
  • Inability to recognize or identify sensory stimuli (agnosia)

Atypical Symptoms

Atypical symptoms are focal but may not specify underlying cause or vessel involved:[1][2][3][4][5]

  • Movement of symptoms from one part to the other without crossing midline
  • Gradual worsening of pre existing mild symptoms
  • Isolated vision loss in one or both eyes
  • Isolated sensory symptoms such as tingling, numbness
  • Isolated brain stem symptoms such as vomiting, dizziness
  • Presence of identical symptoms over the period of one year

References

  1. ↑ 1.0 1.1 1.2 Koudstaal PJ, Algra A, Pop GA, Kappelle LJ, van Latum JC, van Gijn J (1992). "Risk of cardiac events in atypical transient ischaemic attack or minor stroke. The Dutch TIA Study Group". Lancet. 340 (8820): 630–3. PMID 1355211.
  2. ↑ 2.0 2.1 2.2 Sorensen AG, Ay H (2011). "Transient ischemic attack: definition, diagnosis, and risk stratification". Neuroimaging Clin N Am. 21 (2): 303–13, x. doi:10.1016/j.nic.2011.01.013. PMC 3109304. PMID 21640301.
  3. ↑ 3.0 3.1 3.2 Lewandowski CA, Rao CP, Silver B (2008). "Transient ischemic attack: definitions and clinical presentations". Ann Emerg Med. 52 (2): S7–16. doi:10.1016/j.annemergmed.2008.05.017. PMID 18655918.
  4. ↑ 4.0 4.1 4.2 Inoue T, Kimura K, Minematsu K, Yamaguchi T, Japan Multicenter Stroke Investigators' Collaboration (J-MUSIC) (2004). "Clinical features of transient ischemic attack associated with atrial fibrillation: analysis of 1084 TIA patients". J Stroke Cerebrovasc Dis. 13 (4): 155–9. doi:10.1016/j.jstrokecerebrovasdis.2004.06.004. PMID 17903968.
  5. ↑ 5.0 5.1 Kim JS (2014). "Symptoms of transient ischemic attack". Front Neurol Neurosci. 33: 82–102. doi:10.1159/000351905. PMID 24157558.

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