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.
Yes, you can have a stroke and not know it. A stroke's effects can be undetectable if the stroke is small or if the tissue damaged does not serve a critical function. Evidence of the stroke would show on a CT scan or an MRI of the brain, but it might not produce symptoms.
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.
An ECG can detect abnormal heart rhythms, which may be a sign of conditions such as where your heart beats irregularly (atrial fibrillation), which can increase your risk of TIAs.
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).
In addition to the classic stroke symptoms associated with the FAST acronym, around 7-65% of people undergoing a stroke will experience some form of a headache. People describe a stroke-related headache as a very severe headache that comes on within seconds or minutes.
Most people who have a mini-stroke feel fine after the event. In fact, many people don't even realize they've had one! Symptoms might include weakness, numbness, tingling, vision changes or difficulty speaking. Most symptoms are temporary and dissipate within minutes but sometimes can last up to 24 hours.
What Happens if a Mini Stroke Goes Untreated? A mini stroke may resolve on its own, but it's difficult to know just how serious the circumstances are without a thorough medical workup. Familiarizing yourself with these symptoms will allow you to act quickly, which is crucial for avoiding permanent brain damage.
Diagnosis and Tests
The doctor will do some simple quick checks to test your vision, muscle strength, and ability to think and speak. Diagnostic testing consists of either a computed tomogram (CT) or magnetic resonance imaging (MRI) scan of the brain and carotid arteries to determine the possible cause of the TIA.
Neurologists were more likely to diagnose transient ischemic attack based on clinical features including negative symptoms or speech deficits.
Blood biomarkers are promising to aid in the diagnosis, risk stratification, and individual treatment of minor stroke and TIA.
You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not.
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).
Always treat a TIA as seriously as you would a stroke. "Even though the symptoms resolve, there might be damage to the brain, so you need to see a neurologist," Dr. Rost advises.
Weakness or numbness of the face, arm or leg, usually on one side of the body. Trouble speaking or understanding. Problems with vision, such as dimness or loss of vision in one or both eyes. Dizziness or problems with balance or coordination.
Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body. Sudden confusion, trouble speaking, or difficulty understanding speech. Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance, or lack of coordination.
Drink a lot of water: You should drink at least five glasses of water per day, and this will reduce your risk of stroke by 53%, according to a recent study by Loma Linda University.
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 .
You'll probably be given low-dose aspirin straight after a suspected TIA. Aspirin works as an antiplatelet medicine. Platelets are blood cells that help blood to clot. Antiplatelet medicines work by reducing the ability of platelets to stick together and form blood clots.
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.