About this episode
Podcast #259: TIA Author: Peter Bakes, M.D. Educational Pearls A TIA is defined as focal neurological deficit that resolves within 24 hours and has negative imaging. The etiology is a transient thrombus, embolus, or narrowing of a branch of a cerebral artery. Screening tests are generally negative and low-yield. MRI and vascular imaging are usually done to look for reversible causes. Patients presenting with TIA are usually admitted because of a higher risk for stroke. However, there are some patients that are low-risk and do not require admission. Risk can be assessed using the "ABCD" mnemonic: Age>60, BP (history of HTN), Clinical presentation (area of deficit), Diabetes/Duration of symptoms. See reference link for scoring sheet. Patients with a low enough score may be eligible for outpatient follow-up. References: http://www.stroke.org/sites/default/files/resources/tia-abcd2-tool.pdf?docID