TIAs (carotid)

Introduction
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Carotid transient ischemic attacks (TIAs) are also known as or subsume Transient hemispheric attacks. -ed.

Dr. Seemant Chaturvedi, Director of the Comprehensive Stroke Program at Wayne State University, provides an update on carotid transient ischemic attacks (TIAs), with description of new studies pertaining to carotid revascularization in the elderly. The risk of stroke in TIA patients with lesions on early MRI is also described. Finally, new American Stroke Association recommendations for secondary stroke prevention are cited.

Key Points

  • Transient ischemic attacks are an important warning sign for stroke and deserve rapid evaluation and treatment.
  • Risk stratification schemes can be useful for identifying the highest risk transient ischemic attack patients.
  • Patients with transient ischemic attacks should receive rapid medical therapy (antithrombotic therapy for all, antihypertensives and statins for most) and carotid revascularization in select subjects.

In This Article

Introduction
Historical note and nomenclature
Clinical manifestations
Clinical vignette
Etiology
Pathogenesis and pathophysiology
Epidemiology
Prevention
Differential diagnosis
Diagnostic workup
Prognosis and complications
Management
Pregnancy
Anesthesia
References cited
Contributors