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What is a Micro Stroke?

Published in Stroke & TIA 3 mins read

A "micro stroke" is commonly used to refer to a transient ischemic attack (TIA). In essence, it's a temporary disruption of blood flow to the brain, spinal cord, or retina, causing stroke-like symptoms that resolve quickly.

Understanding Transient Ischemic Attacks (TIAs)

Here's a breakdown of what constitutes a TIA:

  • Brief Blockage: A TIA occurs when blood flow to a part of the brain is briefly blocked.
  • Stroke-Like Symptoms: This blockage leads to temporary symptoms that mimic those of a stroke.
  • Temporary: The key differentiator is that these symptoms are transient meaning they resolve, typically within minutes or hours, and usually within 24 hours. This distinguishes a TIA from a full-blown stroke, where the blockage is prolonged, leading to permanent brain damage.

Why Are TIAs Important?

While the symptoms of a TIA are temporary, it's crucial to recognize and address them promptly because:

  • Warning Sign: A TIA is often a warning sign of a future stroke. Many people who experience a TIA will go on to have a full stroke later.
  • Medical Emergency: TIAs should be treated as medical emergencies. Prompt evaluation and treatment can significantly reduce the risk of a subsequent stroke.
  • Preventive Measures: Identifying and addressing the underlying causes of the TIA, such as high blood pressure, high cholesterol, or heart disease, can help prevent future strokes.

TIA vs. Stroke: Key Differences

The primary difference lies in the duration and permanence of the symptoms:

Feature TIA (Transient Ischemic Attack) Stroke
Blood Flow Temporary blockage Prolonged blockage
Symptoms Temporary, resolving within minutes to hours (usually < 24 hours) Can be permanent
Brain Damage No permanent damage Possible permanent damage
Medical Urgency High - needs immediate evaluation to prevent future stroke High - needs immediate treatment to minimize brain damage

Example of TIA Symptoms

Someone experiencing a TIA might experience the following symptoms:

  • Sudden weakness or numbness on one side of the body.
  • Difficulty speaking or understanding speech.
  • Vision loss in one eye.
  • Sudden severe headache.
  • Dizziness or loss of balance.

If these symptoms appear even briefly, immediate medical attention is essential.

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