Transient Ischemic Attack versus Transient Ischemic Attack Mimics: Frequency, Clinical Characteristics and Outcome

@article{Amort2011TransientIA,
  title={Transient Ischemic Attack versus Transient Ischemic Attack Mimics: Frequency, Clinical Characteristics and Outcome},
  author={Margareth Amort and Felix Fluri and Juliane Sch{\"a}fer and Florian Weisskopf and Mira Katan and Annika Burow and Heiner C. Bucher and Leo H. Bonati and Philippe A. Lyrer and Stefan T. Engelter},
  journal={Cerebrovascular Diseases},
  year={2011},
  volume={32},
  pages={57 - 64}
}
Background: There is insufficient evidence regarding which clinical features are best suited to distinguish between transient ischemic attack (TIA) and disorders mimicking TIA (TIA mimics). Methods: We compared the frequency, clinical characteristics and outcome of patients with TIA and TIA mimics in a prospective, single-center emergency department cohort over 2 years. Results: Of 303 patients, 248 (81.8%) had a TIA and 55 (18.2%) had TIA mimics. Epileptic seizures (26/55; 43.7%) and migraine… Expand
Six-Month Outcome of Transient Ischemic Attack and Its Mimics
TLDR
The study indicated that the overall six-month rate of the composite outcome among patients DWI-neg TIA,DWI-pos Tia, and TIA mimics was 12.2, 9.7, and 2.1%, respectively, which was significantly higher than the one- and six- month ischemic stroke rate. Expand
Four-Year Follow-Up of Transient Ischemic Attacks, Strokes, and Mimics: A Retrospective Transient Ischemic Attack Clinic Cohort Study
TLDR
The results show a lower 90-day stroke incidence after TIA or minor stroke than in earlier studies, suggesting that rapid access daily TIA clinics may be having a significant effect on reducing strokes. Expand
Hospital-Based Prospective Registration of Acute Transient Ischemic Attack and Noncerebrovascular Events in Korea.
TLDR
Steno-occlusive disease and cardioembolic risk were independently associated with TIA and the value of various imaging modalities for predicting TIA etiology needs further evaluation. Expand
Four-Year Follow-Up of Transient Ischemic Attacks , Strokes , and Mimics
T ransient ischemic attacks (TIAs) have a very high early stroke risk 1,2 and predispose to myocardial infarction (MI) 3 and vascular death. fatal or disabling recurrent strokes, and disability at 6Expand
Symptoms of transient ischemic attack.
  • Jong S Kim
  • Medicine
  • Frontiers of neurology and neuroscience
  • 2014
TLDR
Transient ischemic attack is a cerebrovascular disease with temporary (<24 h) neurological symptoms that include unilateral limb weakness, speech disturbances, sensory symptoms, visual disturbances, and gait difficulties that can be produced by a variety of non-vascular diseases. Expand
Transient ischemic attack: an evidence-based update.
TLDR
Accurate diagnosis is achieved by obtaining a history of abrupt onset of negative symptoms of ischemic origin fitting a vascular territory, accompanied by a normal examination and the absence of neuroimaging evidence of infarction. Expand
Transient ischemic attack: Part I. Diagnosis and evaluation.
TLDR
The ABCD(2) (age, blood pressure, clinical presentation, diabetes mellitus, duration of symptoms) score should be determined during the initial evaluation and can help assess the immediate risk of repeat ischemia and stroke. Expand
Meningeal disease masquerading as transient ischemic attack.
TLDR
The study confirmed that serious meningeal disease could present as TIA, but this disease was relatively uncommon among patients treated in a TIA clinic and highlighted the diagnostic value of MRI in patients with suspected TIA. Expand
A predictive analytics model for differentiating between transient ischemic attacks (TIA) and its mimics
TLDR
The results of this pilot study indicate that a multinomial classification model, based on a combination of feature selection mechanisms coupled with logistic regression, can be used to effectively differentiate between TIA, TIA mimics, and minor stroke. Expand
Transient Ischemic Attacks: Advances in Diagnosis and Management in the Emergency Department.
TLDR
Antiplatelet and anticoagulant therapy, as well as carotid endarterectomy/stenting have been shown to reduce the stroke occurrence after TIA. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 47 REFERENCES
Misdiagnosis of Transient Ischemic Attacks in the Emergency Room
TLDR
3 clinical features that may be useful in the emergency room triage of transient neurologic attacks are found, which are less likely to be male and white but more likely to have a history of prior unexplained TNA, gradual symptom onset, associated nonspecific symptoms, longer symptom duration, and delayed presentation. Expand
Assessment and management of transient ischaemic attack — the role of the TIA clinic
TLDR
A TIA clinic, in co-ordination with Accident & Emergency Services, provides a safe and efficient alternative to hospital admission for patients with TIA symptoms and a low early stroke risk. Expand
Symptom Progression or Fluctuation in Transient Ischemic Attack Patients Predicts Subsequent Stroke
TLDR
Progression or fluctuation of TIA symptoms may be an important predictor of subsequent stroke and a detailed interview about the characteristics of each attack is necessary for the provision of appropriate care to TIA patients. Expand
Patterns and Predictors of Early Risk of Recurrence After Transient Ischemic Attack With Respect to Etiologic Subtypes
TLDR
The risk of early recurrent stroke is highest in patients with LAA, which supports the need for urgent carotid and transcranial imaging for identifying those patients at highest risk of stroke recurrence. Expand
Thrombolysis in Stroke Mimics: Frequency, Clinical Characteristics, and Outcome
TLDR
Only few patients receiving intravenous thrombolysis for acute ischemic stroke did eventually have a final diagnosis other than stroke, ie, mostly seizures, and their outcome was favorable. Expand
Factors Associated With a High Risk of Recurrence in Patients With Transient Ischemic Attack or Minor Stroke
TLDR
An arterial study to discard SSAD would be necessary, in combination with clinical factors, to improve the identification of patients with a higher risk of 90-day recurrence after an initial minor stroke or TIA. Expand
Early risk of stroke after a transient ischemic attack in patients with internal carotid artery disease
TLDR
Patients who had a hemispheric TIA related to internal carotid artery disease had a high risk of stroke in the first few days after the TIA, and patients with more severe stenosis appeared to be at no greaterrisk of stroke than patients with lesser degrees of stenosis. Expand
Risk of Recurrent Cerebrovascular Events in Patients with Cryptogenic Stroke or Transient Ischemic Attack and Patent Foramen Ovale: The FORI (Foramen Ovale Registro Italiano) Study
TLDR
It is suggested that PFO closure might be superior to medical therapy for the prevention of recurrent stroke and percutaneous closure was not protective in preventing recurrent TIA or stroke. Expand
Diagnostic Usefulness of the ABCD2 Score to Distinguish Transient Ischemic Attack and Minor Ischemic Stroke From Noncerebrovascular Events: The North Dublin TIA Study
TLDR
The ABCD2 score had significant diagnostic usefulness for discrimination of true TIA and MIS from noncerebrovascular events, which may contribute to its predictive usefulness. Expand
Short-term prognosis after emergency department diagnosis of TIA.
TLDR
The results indicate that the short-term risk of stroke and other adverse events among patients who present to an ED with a TIA is substantial and characteristics of the patient and the TIA may be useful for identifying patients who may benefit from expeditious evaluation and treatment. Expand
...
1
2
3
4
5
...