An MRI scan is most often used. This type of scan uses a strong magnetic field and radio waves to create an image of your brain.
Symptoms can be caused by other problems, so the specialist doctor or nurse will listen carefully to you and confirm if you've had a TIA. You may have a brain scan, but not everyone needs a scan. You'll have tests for health problems linked to stroke, such as high blood pressure, high cholesterol and diabetes.
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).
You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not.
Brain magnetic resonance imaging (MRI) is the preferred and most sensitive modality after transient ischemic attack (TIA) or minor stroke. It should include diffusion-weighted imaging (DWI) and should be completed within 24 hours of symptom onset1,2; its use is 3-fold.
Symptoms of a TIA come on suddenly. You may feel perfectly fine one minute and then suddenly develop difficulty speaking or moving one side of your body. Sometimes the symptoms will come and go several times in a short period of time.
Dipyridamole and aspirin — Dipyridamole is a medication that may be given after a TIA to reduce the risk of stroke. It is often given as an extended-release form, combined with aspirin (aspirin-extended-release dipyridamole, brand name: Aggrenox). It is taken two times per day.
If you have had a TIA or an ischaemic stroke you will almost always need to take blood-thinners. There are two types of blood thinners: Antiplatelet medication. Antiplatelet medicines stop tiny blood cells called platelets from sticking together and forming a blood clot.
The underlying cause of a TIA often is a buildup of cholesterol-containing fatty deposits called plaques (atherosclerosis) in an artery or one of its branches that supplies oxygen and nutrients to the brain. Plaques can decrease the blood flow through an artery or lead to the development of a clot.
A person who experiences a TIA may have a 10-20 percent risk of having a full stroke in the next seven days depending on the cause, Streib said. The American Stroke Association confirms that 9 to 17 percent of people who have had a TIA have a stroke within 90 days.
Most patients in the US and Canada receive a computed tomography (CT) scan in the 24 hours following a TIA or a non-disabling stroke – a stroke that has not caused long-term disability. A CT scan provides cross-sectional images of the brain, allowing a more in-depth analysis of blood circulation and tissue damage.
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.
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 .
Call 9-1-1 immediately if any of these signs of stroke appear: Numbness or weakness in the face, arm, or leg; Confusion or trouble speaking or understanding speech; Trouble seeing in one or both eyes; Trouble walking, dizziness, or problems with balance; severe headache with no known cause.
Although a TIA should not have a long-term impact on your daily activities, you must stop driving immediately. If your doctor is happy that you have made a good recovery and there are no lasting effects after 1 month, you can start driving again.
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).
The difference is TIA symptoms resolve within minutes, although they can last as long as 24 hours. Doctors call TIAs mini-strokes or warning strokes, because if you have a TIA, you are at higher risk for stroke later. TIA recovery is quick—as soon as symptoms stop.
Taking blood-thinning medication is often one of the main ways you can reduce your risk of a stroke if you have had a stroke or TIA, or have a heart condition. By reducing the risk of clots forming, they give you a much greater chance of recovering and staying healthy after a stroke.
Higher levels of stress, hostility and depressive symptoms are associated with significantly increased risk of incident stroke or TIA in middle-aged and older adults.
The best way to help prevent a TIA is to eat a healthy diet, exercise regularly, and not smoke or drink too much alcohol.
The signs of a stroke often appear suddenly, but that doesn't mean that you won't have time to act. Some people will experience symptoms such as headache, numbness or tingling several days before they have a serious stroke.