Transient Ischemic Attack Questions & Answers

Updated: Dec 03, 2018
  • Author: Ashish Nanda, MD; Chief Editor: Andrew K Chang, MD, MS  more...
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Questions & Answers

Overview

How is transient ischemic attack (TIA) defined?

What is the risk of ischemic stroke after transient ischemic attack (TIA)?

What should be the focus of recent history in suspected transient ischemic attack (TIA)?

Which vital signs should be monitored initially in transient ischemic attack (TIA)?

What should be assessed immediately following transient ischemic attack (TIA)?

What are the goals of physical exam following transient ischemic attack (TIA)?

What subsets of a neurologic exam should be included in evaluation following transient ischemic attack (TIA)?

Which tests are performed emergently to differentiate transient ischemic attack (TIA) from other conditions?

Which tests are performed urgently in evaluation of suspected transient ischemic attack (TIA)?

Which lab tests are indicated for the diagnosis of a transient ischemic attack (TIA)?

When should brain imaging be performed in the workup of transient ischemic attack (TIA)?

What is the role of vascular imaging in the workup of transient ischemic attack (TIA)?

What is included in urgent management of suspected transient ischemic attack (TIA)?

When is inpatient care indicated for transient ischemic attack (TIA)?

What is the role of antiplatelet therapy in the initial treatment of transient ischemic attack (TIA)?

Which medications are used for stroke prevention in the treatment of cardioembolic transient ischemic attack (TIA)?

What are the treatment options for transient ischemic attack (TIA) due to stenosis of a major intracranial artery?

What is a transient ischemic attack (TIA) and how is it defined?

What is included in the clinical assessment of possible transient ischemic attack (TIA)?

Which conditions should be considered in the differential diagnoses of transient ischemic attack (TIA)?

What is included in the initial emergency assessment and management of suspected transient ischemic attack (TIA)?

What are the characteristics of transient ischemic attack (TIA)?

What are underlying etiologies of transient ischemic attack (TIA)?

What is the etiology of transient ischemic attack (TIA) in children?

What is the incidence of transient ischemic attack (TIA) in the US?

What is the global incidence of transient ischemic attack (TIA)?

How does the incidence of transient ischemic attack (TIA) vary by age?

How does the incidences of transient ischemic attack (TIA) vary by sex?

How does the incidence of transient ischemic attack (TIA) vary by race?

What is the prognosis of transient ischemic attack (TIA)?

What instructions should be given to patients following transient ischemic attack (TIA)?

Presentation

Who should provide patient history in suspected transient ischemic attack (TIA)?

What should the focus of medical history in the evaluation of suspected transient ischemic attack (TIA)?

What is the role of medical history in the evaluation of suspected transient ischemic attack (TIA)?

What are the goals of physical exam in the evaluation of suspected transient ischemic attack (TIA)?

What is the role of a stroke scale in the evaluation of transient ischemic attack (TIA)?

What active comorbidities are common in transient ischemic attack (TIA)?

What is the role of funduscopy in the evaluation of transient ischemic attack (TIA)?

What is the role of chest exam in the evaluation of suspected transient ischemic attack (TIA)?

Which physical exam findings suggest a cardioembolic etiology for suspected transient ischemic attacks (TIAs)?

What are the signs and symptoms of cranial nerve dysfunction in transient ischemic attack (TIA)?

How is the cerebellar system assessed in the evaluation of transient ischemic attack (TIA)?

What subsets of neurologic exam should be performed in the evaluation of transient ischemic attack (TIA)?

What should be included in somatic motor testing for suspected transient ischemic attack (TIA)?

What is the National Institutes of Health Stroke Scale (NIHSS)?

Which neurologic areas are the focus of National Institutes of Health Stroke Scale (NIHSS)?

What are the limitations of the National Institutes of Health Stroke Scale (NIHSS) in assessing clinical deficits in transient ischemic attack (TIA)?

Which vital signs should be measured initially in the evaluation of suspected transient ischemic attack (TIA)?

What should be included in the assessment of overall health and appearance in transient ischemic attack (TIA)?

DDX

What are transient neurologic attacks (TNAs)?

What are symptoms of nonfocal transient neurologic attacks (TNAs)?

What is a mixed transient neurologic attack (TNA)?

What is the prognosis of nonfocal transient neurologic attacks (TNAs)?

What are the differential diagnoses for Transient Ischemic Attack?

Workup

What is the initial approach to the workup of transient ischemic attack (TIA)?

What is the role of brain imaging in the workup of transient ischemic attack (TIA)?

What is the role of EEG in the workup of transient ischemic attack (TIA)?

When is lumbar puncture (LP) indicated in the workup of transient ischemic attack (TIA)?

Which lab tests are performed emergently in the evaluation of transient ischemic attack (TIA)?

Which lab tests are performed on an urgent basis in the evaluation of transient ischemic attack (TIA)?

When are screening tests for hypercoagulable states indicated in the workup of transient ischemic attack (TIA)?

Which lab tests may be performed based on history and physical exam in the diagnosis of transient ischemic attack (TIA)?

What is the role of CT scanning in the diagnosis of transient ischemic attack (TIA)?

What is the role of MRI in the diagnosis of transient ischemic attack (TIA)?

What is the role of vascular imaging in the diagnosis of transient ischemic attack (TIA)?

What is the role of cardiac imaging in the diagnosis of transient ischemic attack (TIA)?

What is the benefit of appropriate risk stratification for transient ischemic attack (TIA)?

What is the ABCD2 risk stratification for transient ischemic attack (TIA)?

How are ABCD2 scores interpreted for transient ischemic attack (TIA)?

What is the role of risk stratification scoring systems in the management of transient ischemic attack (TIA)?

What is the ABCD3 scoring system for transient ischemic attack (TIA)?

Treatment

What prehospital management is used for suspected transient ischemic attack (TIA)?

What is the initial treatment approach for suspected transient ischemic attack (TIA)?

What is the benefit of rapid evaluation of transient ischemic attack (TIA) in terms of stroke risk reduction?

In what setting should clinical evaluation of transient ischemic attack (TIA) be performed?

What are the benefits of emergency department (ED) workup of transient ischemic attack (TIA)?

According to the AHA, when is hospital admission indicated for management of transient ischemic attack (TIA)?

What are the National Stroke Association recommendations for inpatient management of first transient ischemic attack (TIA)?

What are the National Stroke Association recommendations for inpatient management of recent transient ischemic attack (TIA)?

What are the AHA recommendations for management of hypertension in patients with transient ischemic attack (TIA)?

When is antithrombotic therapy indicated for transient ischemic attack (TIA)?

What are the AHA/ASA guidelines for antithrombotic therapy in noncardioembolic transient ischemic attack (TIA)?

What are the AHA/ASA guidelines for antithrombotic therapy in cardioembolic transient ischemic attack (TIA)?

What are the AHA/ASA guidelines for antithrombotic therapy in dilated cardiomyopathy-related transient ischemic attack (TIA)?

What are the AHA/ASA guidelines for antithrombotic therapy in transient ischemic attack (TIA) with mitral valve prolapse?

What are the AHA/ASA guidelines for antithrombotic therapy in transient ischemic attack (TIA) with aortic valve disease?

What are the AHA/ASA treatment guidelines for stroke or transient ischemic attack (TIA) due to stenosis of a major intracranial artery?

What is the role of percutaneous transluminal angioplasty and stenting (PTAS) in the treatment of transient ischemic attack (TIA)?

How is ipsilateral carotid artery stenosis and transient ischemic attack (TIA) treated?

What are the AHA/ASA treatment guidelines for transient ischemic attack (TIA) caused by extracranial vertebral stenosis?

When should a neurologist be consulted in the evaluation of transient ischemic attack (TIA)?

How is rapid evaluation provided for transient ischemic attack (TIA)?

What is the most important consultation during ED evaluation of transient ischemic attack (TIA)?

When is consultation with a cardiologist indicated for the management of transient ischemic attack (TIA)?

When is consultation with a neurosurgeon or vascular surgeon indicated for the management of transient ischemic attack (TIA)?

How are patients with transient ischemic attack (TIA) monitored following emergency treatment?

What measures should be included in any long-term monitoring following a transient ischemic attack (TIA)?

Medications

What are the goals of drug treatment for transient ischemic attack (TIA)?

Which medications in the drug class Anticoagulants are used in the treatment of Transient Ischemic Attack?

Which medications in the drug class Antiplatelet Agents are used in the treatment of Transient Ischemic Attack?