Published 23 March 2009, doi:10.1136/bmj.a2343
Cite this as: BMJ 2009;338:a2343

Practice

10-Minute Consultation

Transient ischaemic attack

Vedamurthy Adhiyaman, consultant in geriatric medicine1, Sonja Adhiyaman, general practitioner 2

1 Glan Clwyd Hospital, Rhyl, Denbighshire LL18 5UJ, 2 The Laurels Surgery, Flint, Flintshire CH6 5AF

Correspondence to: V Adhiyaman adhiyamanv@yahoo.co.uk

The first 150 words of the full text of this article appear below.

A 64 year old man comes to your surgery five days after an episode of visual loss in his left eye, followed by right sided weakness and speech disturbance lasting 10 minutes. He has made a complete recovery and has driven himself to the surgery to ask whether he can return to work.

  • Transient ischaemic attack (TIA) is a sudden onset focal neurological deficit that resolves completely within 24 hours.
  • Amaurosis fugax, an embolic form of a TIA in the carotid territory, is painless transient monocular blindness, described as a curtain, shade, or mist descending over the eye.
  • The diagnosis of a TIA is based entirely on history rather than brain imaging.
  • The risk of a recurrent event after a TIA is highest in the first month (risk of 8-10% at seven days and 11-15% at 30 days).

Onset—Symptoms are sudden in TIA, as in acute stroke. Insidious onset . . . [Full text of this article]


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Giant cell arteritis and transient visual loss
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BMJ 2009 338: b1809. [Extract] [Full Text]

This article has been cited by other articles:

  • Guly, C. M, Olson, J. A (2009). Giant cell arteritis and transient visual loss. BMJ 338: b1809-b1809 [Full text]  

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