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Johns Hopkins Health Alert

The Dangers of a TIA

Johns Hopkins Health Alerts | Hypertension & Stroke | The Dangers of a TIA

In the past, doctors and patients didn’t take a TIA as seriously as a stroke. But today that has changed, and a TIA or mini-stroke is treated as a medical emergency.

Most people who have a stroke never see it coming. The stroke occurs without any warning of the impending danger. However, some people are fortunate enough to get a warning that could save their life -- if they heed the signal.

The warning comes in the form of a transient ischemic attack (TIA), often called a mini-stroke, because it causes stroke-like symptoms that are not as severe or long lasting as the symptoms of a full-blown stroke. A TIA usually lasts only a few minutes and does not cause any permanent brain damage.

But don’t be fooled. A TIA is just as much of a medical emergency as a stroke. That is because about a third of people who suffer a TIA go on to have a stroke in the days, weeks, or months that follow. Fortunately, by receiving immediate treatment for a TIA, you can reduce your chances of having a full-blown stroke.

The signs and symptoms of a TIA are the same as those of a stroke and include the sudden onset of:

  • Weakness or numbness of the face, arms, or legs, often affecting only one side of the body
  • Confusion, slurred or garbled speech, or difficulty understanding what someone else is saying
  • Blurring or blindness in one or both eyes
  • Dizziness, trouble walking, or loss of balance or coordination
  • Severe headache with no obvious cause

These symptoms rarely last more than 20 minutes and usually go away after a few minutes. When the symptoms last more than 24 hours, the attack is considered a stroke.

Just like a stroke, a TIA is a medical emergency. That means calling 911 at the first signs or symptoms, even if the symptoms last only a few minutes, which they often do. You might feel that being attended to and rushed off to the hospital by paramedics once the symptoms have subsided is making a mountain out of a molehill. But keep in mind that an immediate, thorough medical evaluation -- and treatment based on that evaluation -- is the best way to reduce your risk of a full-blown stroke. In addition, if you happen to experience a full-blown stroke while in the hospital (about 6% of TIAs are followed by a stroke within 48 hours), you can be given the emergency stroke drug t-PA within the three-hour window and your chances of a full recovery will be greatly improved.

Johns Hopkins Health Alerts | Hypertension & Stroke | The Dangers of a TIA

Posted in Hypertension and Stroke on December 11, 2007
Reviewed June 2008

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Users and editors may post comments here at their own discretion. The views expressed do not constitute medical advice and do not represent the position of Johns Hopkins Medicine or University Health Publishing, which has no responsibility for its content.




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