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A transient ischemic attack (TIA), commonly known as a mini-stroke, is a temporary (transient) stroke with noticeable symptoms that end within 24 hours. A TIA causes the same symptoms associated with a stroke, such as weakness or numbness on one side of the body, sudden dimming or loss of vision, difficulty speaking or understanding language or slurred speech.
[1] [2] Its usefulness was questioned in a 2015 review as it was not found to separate those who are at low from those who are at high risk of future problems. [3] A high score correctly predicted 87% of the people who did have a stroke in the following 7 days but also many people who did not have problems.
The most common presentation of cerebrovascular disease is an ischemic stroke or mini-stroke and sometimes a hemorrhagic stroke. [2] Hypertension (high blood pressure) is the most important contributing risk factor for stroke and cerebrovascular diseases as it can change the structure of blood vessels and result in atherosclerosis . [ 5 ]
Brain ischemia has been linked to a variety of diseases or abnormalities. Individuals with sickle cell anemia, compressed blood vessels, ventricular tachycardia, plaque buildup in the arteries, blood clots, extremely low blood pressure as a result of heart attack, and congenital heart defects have a higher predisposition to brain ischemia in comparison to the average population.
[2] [3] Signs and symptoms often appear soon after the stroke has occurred. [3] If symptoms last less than 24 hours, the stroke is a transient ischemic attack (TIA), also called a mini-stroke. [3] Hemorrhagic stroke may also be associated with a severe headache. [3] The symptoms of stroke can be permanent. [5]
Hypoxic ischemic encephalopathy (HIE) is a condition that occurs when the entire brain is deprived of an adequate oxygen supply, but the deprivation is not total. While HIE is associated in most cases with oxygen deprivation in the neonate due to birth asphyxia , it can occur in all age groups and is often a complication of cardiac arrest .
The MCA is the most common site for the occurrence of ischemic stroke. [1] Depending upon the location and severity of the occlusion, signs and symptoms may vary within the population affected with MCA syndrome. More distal blockages tend to produce milder deficits due to more extensive branching of the artery and less ischemic response.
Here are links to possibly useful sources of information about Transient ischemic attack. PubMed provides review articles from the past five years (limit to free review articles) The TRIP database provides clinical publications about evidence-based medicine. Other potential sources include: Centre for Reviews and Dissemination and CDC