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When is it a Stroke? - Oren Zarif - Minor Stroke
A major question that arises when evaluating a minor stroke is when is it a stroke? This question has been addressed by a recent study by the National Institutes of Health. Researchers have identified four subgroups of patients that were hospitalized with minor stroke. The cutoffs for each subgroup vary. For example, patients in definition A had the lowest NIHSS scores, while patients in definition F had the highest scores. Despite the differences in patient outcomes, the short and long-term outcome was similar for all three subgroups.
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The majority of cases of minor stroke are categorized as "minor" and are not life-threatening. There are symptoms that indicate this type of stroke, including speech changes and difficulty repeating simple phrases. These symptoms should prompt a 911 call or a trip to the hospital. Most cases of minor stroke are caused by plaque-filled blood vessels in the brain, which block blood flow. In addition, a blood clot traveling from other parts of the body can cause a stroke and may impede the brain's ability to function.
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The study was approved by the Danish Clinical Registries and involved the patients in a dedicated TIA or stroke clinic. Patients were eligible if the stroke consultant had confirmed the diagnosis and recorded a clinical code in the primary care medical record. They also had to be at least 18 years of age, speak a good level of English and have signed informed consent before the study began. Additionally, they could not be terminally ill or have recently suffered a bereavement.
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A major difference between a minor stroke and a TIA is that a patient may experience symptoms of a TIA or a transient ischaemic attack. These symptoms are similar to those of a stroke, but last less than 24 hours. Most patients recover fully from this condition, so treatment for this type of stroke may involve taking drugs or making lifestyle changes. But the risk of a TIA or minor stroke recurrence is similar to that of a minor stroke.
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If the patient is not severely affected, the NIHSS will consider the stroke a minor stroke. However, some physicians would consider hemianopia more severe than mild facial weakness. A minor stroke patient who scores a 1 on all NIHSS items is a minor stroke. The patient must be conscious and able to complete activities of daily living. Regardless of the outcome, the patient must continue with home therapy to improve their overall quality of life.
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While TIA may be less severe than a major stroke, it is still dangerous for your health. A transient ischemic attack, or TIA, can be an important prelude to a more severe stroke. A TIA symptoms may last anywhere from two to 24 hours, but the risk of a major stroke remains high after the TIA. You should contact a medical professional if you suspect that you may have suffered a TIA.
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A recent randomized controlled trial and a systematic review have concluded that dual antiplatelet therapy may be beneficial in the treatment of minor stroke. A randomized trial of clopidogrel (Plavix) and aspirin (Paroxetine) combined reduced the risk of recurrent stroke and disability compared to either monotherapy. But it should be noted that there are several caveats to this study, primarily due to the selection bias that favors high-risk TIA.
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TIA, also known as a minor stroke, is a medical emergency. Because its symptoms are different from those of a major stroke, a person may be able to attribute the TIA to other causes. This is particularly true if the TIA symptoms are not persistent. However, if the symptoms are severe, the patient should seek medical attention. If they fail to do so, the effects can be life-threatening.
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Although TIAs typically resolve within 24 hours, a full stroke diagnosis requires a comprehensive approach. Brain scans can reveal brain lesions, but in most cases, a TIA leaves little damage. In addition to the symptoms, the recovery time of a minor stroke can be prolonged for as long as the person follows a strict therapy regimen. If the patient has been hospitalized for a few days, the time frame will depend on the severity of the stroke.
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HCPs typically underestimate the long-term effects of TIA/minor stroke. They often fail to mention the effects that TIA/stroke has on patients' social lives. While some HCPs recognised the impact of the impairments on daily functioning and driving, others were skeptical. Other patients experienced difficulties returning to work, including increased emotionality, fatigue, anxiety, and loss of confidence. These problems may be the result of residual symptoms from the stroke.
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