![]() ![]() The patient also needs an MRI to see if the attack did any damage to the brain, Grewal said. So noncontrast CT at least helps us rule out those things quickly in the Emergency Department.” “There are some things that can mimic a TIA, like a brain mass or a hemorrhage. “Everybody with a TIA should have a noncontrast CT head done,” Grewal said, referring to a computed tomography brain exam. Diabetes doubles the risk.īut the ABCD2 test isn’t the only assessment that should follow a TIA, Grewal said. ![]() The shorter the time the symptoms lasted, the lower the patient’s risk of a stroke. “D” stands for duration of symptoms and whether the patient has a history of diabetes.“C” is for clinical features of the TIA, such as weakness and speech problems.High blood pressure raises the risk as well. Your stroke risk doubles every 10 years after you turn 55, according to the Centers for Disease Control and Prevention. One test checks something called the patient’s ABCD2 score. “It can help decide if you’re in the low-risk group or the high-risk group for having a stroke.” If it’s a TIA, Grewal said a series of evaluations should follow. You don't know if in the end, it will be a stroke or a TIA.” ![]() “The duration of TIA symptoms is typically less than 60 minutes, but we don't want people to wait 60 minutes before they come to the ED. It just needs to happen quickly, Grewal said. If you’re in an area that doesn’t have a neurologist, your doctor may be able to use telehealth to connect with a stroke expert at MUSC Health or another hospital with neurological expertise. If that’s happening to you or someone you’re around, Grewal said you need to get to an emergency department as soon as possible. Those are all warning symptoms of a stroke.” We tell our patients to watch for sudden loss of balance, sudden vision loss, an uneven smile, check if one arm is weak or if you're having slurred speech or trouble talking. ![]() “In a TIA, basically the symptoms are the same as stroke symptoms. Grewal said no matter where a patient lives, getting the right care starts with recognizing the signs. It includes specifics for health care providers in rural areas. The American Heart Association statement spells out what doctors should do to try to keep that from happening, from comprehensive evaluation to risk assessment scoring. Ten to 18% of these people, within the next 90 days, will have a stroke, with almost half occurring within two days of the TIA.” “Historically, people have been calling TIAs mini strokes. Grewal, an assistant neurology professor at the Medical University of South Carolina, said the guidance could save lives. It’s aimed at making sure doctors and nurses across the country, including those in rural areas that may not have stroke experts, follow the right steps to take care of patients who have had TIAs. Prevention is the goal of a new scientific statement from the American Heart Association. Then the patient goes on to have a stroke that could have been prevented,” said vascular neurologist Parneet Grewal at MUSC Health’s Comprehensive Stroke Center. “It is very common, especially in rural areas, for TIAs to go unrecognized. If you get the right kind of help, you may be able to prevent that. It may be a warning that you’re about to have a stroke. If you have a transient ischemic attack, or TIA, you need to get help immediately. ![]()
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