What are the symptoms of a transient ischemic attack?

Written in association with: Dr Frederick Boyle
Published: | Updated: 29/07/2024
Edited by: Conor Lynch

In this article here, esteemed consultant in geriatric, stroke, and general medicine, Dr Frederick Boyle, discusses transient ischemic attacks at length. 

What is a transient ischemic attack?

A transient ischemic attack (TIA), often referred to as a mini stroke, is a brief episode of neurological dysfunction caused by a temporary disruption of blood flow to the brain. Unlike a full-blown stroke, a TIA does not result in permanent brain damage and its symptoms typically resolve within minutes to hours. However, TIAs are significant warning signs, indicating an increased risk of future strokes.

 

What are the symptoms of a transient ischemic attack?

The symptoms of a TIA are similar to those of a stroke and can include sudden numbness or weakness in the face, arm, or leg, particularly on one side of the body. Other symptoms may involve confusion, trouble speaking or understanding speech, visual disturbances in one or both eyes, difficulty walking, dizziness, and loss of balance or coordination. Because these symptoms can mirror those of a stroke, it is crucial to seek immediate medical attention even if they subside quickly.

 

What are the causes?

The underlying cause of a TIA is usually a blood clot temporarily blocking an artery supplying blood to the brain. Risk factors include hypertension, diabetes, high cholesterol, smoking, atrial fibrillation, and a sedentary lifestyle. Understanding and managing these risk factors is essential in preventing TIAs and reducing the risk of subsequent strokes.

 

How is TIA diagnosed?

Diagnosing a TIA involves a thorough medical history, physical examination, and diagnostic tests such as MRI or CT scans, carotid ultrasound, and electrocardiograms. Blood tests to check for conditions like diabetes and high cholesterol are also commonly conducted.

 

How is TIA treated?

Treatment for TIA focuses on addressing the underlying risk factors. This may involve medications to control blood pressure, cholesterol, and blood sugar levels, antiplatelet or anticoagulant drugs to prevent clot formation, and lifestyle modifications such as a healthy diet, regular exercise, and smoking cessation. In some cases, surgical interventions like carotid endarterectomy or angioplasty may be necessary to improve blood flow to the brain.

By Dr Frederick Boyle
Geriatrics

Dr Frederick Boyle is a leading triple accredited consultant in Geriatric medicineStroke medicine and General medicine based in London. He specialises in stroke, transient ischaemic attack, hypertension, falls, polypharmacy and syncope. He privately practises at Chelsea and Westminster Hospital Private Care. 

Dr Boyle completed specialty training at King's College Hospital with a fellowship in Stroke medicine at St Thomas' Hospital, and joined the GMC Specialist Register in 2019. Dr Boyle worked as a consultant at King's and the Royal Adelaide Hospital in Australia before being appointed at Chelsea and Westminster Hospital.

He is particularly skilled in managing complex medical conditions often seen in older adults, such as dementia, frailty and polypharmacy. He is known for his efficient and patient centred approach and aims to see all urgent referrals with 24 hours.

Dr Boyle believes that medical care is a contract and joint enterprise between the person receiving care and the doctor giving it, he is able to explain complex medical issues in a clear way so that patients can make an informed choice about their medical care. He works closely with colleagues in the Multi-disciplinary team at Chelsea and Westminster Hospital including physiotherapists and occupational therapists so that patients benefit from holistic care delivered by skilled professionals. He is also able to review patients in their own home so that older adults avoid the stress and inconvenience of attending a clinic appointment.

Dr Boyle has presented his work in Stroke and Geriatric medicine internationally, including at the European Stroke Organisation Conference. His research interests include dementia care, strategies for preventing frailty and stroke. He has an interest in medical education and teaches medical students at Imperial College London. 

Dr Boyle has his private clinic at Chelsea and Westminster Hospital on Monday afternoons, however he aims to see all urgent referrals including TIAs within 24 hours. He undertakes home visits in West London. 

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