Transient ischemic attack

Question 1

TIA presentation?

Answer 1

sudden onset speech arrest and right arm weakness that resolved after 30 min, along with noncontrast ct scan of the head likely had a transient ischemic attack in the left middle cerebral artery blood supply distribution.

Question 2

multiple sclerosis (MS) vs TIA?

Answer 2

pt with ms: new focal neurological symptoms may not always be due to acute ms attack, neurologic deficits related to acute demyelinating plaque of ms usually lasts days to weeks .
opposite, TIA symptoms lasts less than 24 hrs in a pt with multiple vascular risk factors (HTN, hyperlipidemia, tobacco use).

Question 3

treatment?

Answer 3

modifying identifiable risk factors to prevent recurrent TIA or stroke, including discontinuing tobacco use, initiating aspirin, starting statin for hyperlipidemia and reducing blood pressure.