12 Comments

  1. um02122 on August 29, 2019 at 9:21 pm

    I don’t agree with your definition and proposed mechanism for the TIA.

    Firstly, TIA can happen in an artery above or outside the carotid artery.
    This is, there are posterior circulation TIAs, involving the vertebral / basilar arteries. Also, you can have TIA due to local atherosclerosis in the brain vasculature.

    Then, the lack of a carotid bruit will never exclude the need of a Carotid Doppler. As the presence will also not exclude the need of a Carotid Doppler. I’m a stroke physician and I don’t remember ever suspecting carotid disease as a cause of TIA or stroke due to a carotid bruit.

    Carotid endarterectomy indication:
    – 50-99% stenosis in the ipsilateral carotid artery (NASCET criteria) or 70-99% (ECST criteria);
    – within 14 days of the onset of the symptoms / vascular event
    – mild neurology in case of stroke (severe strokes eg. NIHSS>15 are treated with best medical management instead – dual antiplatelets for 6 weeks).

  2. Eric Barnard on August 29, 2019 at 9:22 pm

    I had a TIA when I was 24 while I was in the Military. It was scary.

  3. CanadaQBank on August 29, 2019 at 9:24 pm

    Transient Ischemic Attack
    Instructional Tutorial Video
    CanadaQBank.com
    Video: http://youtu.be/NpzXaO8JGo4

  4. blaby4ever on August 29, 2019 at 9:34 pm

    Would an MRI also be taken into account as for the first question

  5. Nathaniel King on August 29, 2019 at 9:43 pm

    Question: My father has a history of high blood pressure and TIA’s. We were at the doctors office in the waiting room and he started to get restless waiting so he bent over and put his head in his lap for a couple minutes. My sister and I for whatever reason decided to check on him and upon trying to prop him up he was unresponsive, drooling and was clinch up on both arms like stephen hawking. During the episode he sneezed twice while his arms were fully contracted and unable to move/respond. After about a minute they got a stretcher and put him on it and while that transition was happening he progressively snapped out of it. On the stretcher he regained consciousness and had no signs of a stroke. Took his blood pressure shortly after and it was normal.

    In short my question is: Can a TIA be consistent with the “muscle arrest” of both arms aka effect both sides of the body?

    Also: Can arterial (Carotid) pressure (since he was bent over) trigger a TIA?

  6. ThereWasMore TWM on August 29, 2019 at 9:46 pm

    How will you know its a subarachnoid haemorrhage?

  7. Brasley Baksza on August 29, 2019 at 9:52 pm

    recommend increasing plaback speed x1.5

  8. Nesren Saeed on August 29, 2019 at 9:56 pm

    I had accident since 3years and early i have small slurred speech for 2days only but i am ok now .

  9. RuQaYa FaLaH on August 29, 2019 at 9:57 pm

    treatment of TIA:_plavix
    or aspirin
    if not respond
    add dipyridamole ..
    statin
    carotid endartectomy
    our aim is to prevent stroke

  10. RuQaYa FaLaH on August 29, 2019 at 9:58 pm

    if the occlusion of carotid artery exceeds 70%
    endartectomy is indicated
    thanx for the info

  11. liFE 707 on August 29, 2019 at 9:59 pm

    I think I might be having a TIA but my family doesn’t really have much history with Strokes or tia I don’t drink alcohol at all I don’t smoke and I’m not obese and my age is 16 I don’t know why am I getting this so far thankfully it’s just been TIAs no strokes is there anyway to fix this problem in long term without going to hospitals or doctors? Is there any medicine or anything one can do in his life to prevent a stroke from happening?

  12. telecasterbear on August 29, 2019 at 10:03 pm

    I had my first TIA when i was in the 7th grade. It began with losing vision in the left eye. Then the left arm went numb. Then I would get cold. Then I would vomit. Comprehension or reading were not possible. I would go to the school nurse, my father would come to the school and take me home, then he would go back to work. I would be left alone at home. Symptoms would ease up hours later, then the severe headache would last for another twenty four hours. I had several through middle and high school. I had several more years later. The last one was at age 27. I am 56 now and gladly havent had any in a long time. No one thought to take me to a hospital because I couldnt tell them anything, and they just thought i was "sick" .

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