TIA as Acute Cerebrovascular Syndrome ( Frontiers of Neurology and Neuroscience )

Publication series : Frontiers of Neurology and Neuroscience

Author: Uchiyama S.; Amarenco P.; Minematsu K.  

Publisher: S. Karger AG‎

Publication year: 2013

E-ISBN: 9783318024593

P-ISBN(Paperback): 9783318024586

Subject: R743.3 acute cerebrovascular disease (stroke)

Keyword: 外科学,神经病学,内科学,老年病学

Language: ENG

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Description

Transient ischemic attack (TIA) is well known to be a prodromal syndrome of ischemic stroke. However, TIA is easily neglected or underestimated by patients or even general physicians because the symptoms naturally disappear without treatment. Despite this, early after the onset of TIA the patients are at very high risk of stroke. As it is not possible to differentiate TIA from acute ischemic stroke (AIS) only by the duration of symptoms, both TIA and AIS should be recognized on the same spectrum of acute ischemic syndrome in the central nervous system. This book presents the new concept ‘acute cerebrovascular syndrome’ (ACVS), which includes both TIA in acute settings and AIS. The publication covers all topics of TIA in ACVS, which includes the definition, concept, etiology, epidemiology, symptomatology, risk scores, neuroimaging, neurosonology, acute management, primary and secondary prevention, and guidelines. Written by leading international experts in the field, the publication presents valuable and essential information for neurologists, general practitioners, neurosurgeons, radiologists, students, and nurses, in both clinical practice and research.

Chapter

History of Transient Ischemic Attack Definition

Abstract

‘Attack’

‘Ischemic’

‘Transient’

Modern Redefinition

Current Impact of the Modern TIA Definition

References

The Concept of Acute Cerebrovascular Syndrome

Abstract

Importance and Definition of Transient Ischemic Attack

New Concept of Acute Cerebral Ischemia

Transient Ischemic Attack as Acute Cerebrovascular Syndrome

References

Transient Ischemic Attack as a Medical Emergency

Abstract

Urgency: Short-Term Risk of Transient Ischemic Attack

Effect of Emergency Care

Key Points of Risk Stratification at First Visit

Hospitalization: Transient Ischemic Attack Management Policy

Importance of Awareness of Transient Ischemic Attack

References

TIA Clinic: A Major Advance in Management of Transient Ischemic Attacks

Abstract

What Is the Optimum Provision of Care in TIA Clinics?

What Is the Ideal Setup for TIA Clinic?

Preadmission Triage for TIA Clinic Appointment

Are TIA Clinics Cost-Effective?

Conclusion

References

Risk Scores for Transient Ischemic Attack

Abstract

Risk of Recurrent Stroke after Transient Ischemic Attack

First Long-Term Approaches: Stroke Prognosis Instrument I/II and Hankey Score, etc.

More Recent Short-Time Approaches: California Risk Score, ABCD System and Its Developments

Prediction of a First Transient Ischemic Attack/Stroke

Epidemiological Studies and Scores

Conclusions

References

Epidemiology of Transient Ischemic Attack

Abstract

Prevalence and Incidence of Transient Ischemic Attack

Symptoms of Transient Ischemic Attack

The Risk Factors for Transient Ischemic Attack

Prognosis of Stroke Events after Onset of Transient Ischemic Attack

Family History

Diurnal and Seasonal Variations in Stroke and Transient Ischemic Attack Incidence

References

Symptoms of Transient Ischemic Attack

Abstract

Transient Ischemic Attack Symptoms

Transient Ischemic Attack Mimics

Specificity of Transient Ischemic Attack Symptoms and Outcome

Recognition of Transient Ischemic Attack Symptoms

References

Guidelines for Management of Patients with Transient Ischemic Attack

Abstract

Representative Guidelines for the Management of Transient Ischemic Attack

Risk Stratification for Referral to a Specialized Hospital

Initial Management and Estimations

Hospital Admission

Treatment

References

Radiological Examinations of Transient Ischemic Attack

Abstract

Imaging an Ischemic Lesion

Vessel Imaging

Imaging Strategies

Conclusion

References

Neurosonological Examinations of Transient Ischemic Attack

Abstract

Cervical Duplex Ultrasonography

Transcranial Doppler

Transcranial Color-Coded Duplex

Extracranial Carotid Stenosis

Stenosis of Cervical Vertebral Arteries and Subclavian Steal Syndrome

Transcranial Doppler in Intracranial Stenosis

Right-to-Left Shunt Detection

Vasomotor Reactivity

Fast-Track Cerebrovascular Ultrasonography in Acute Cerebrovascular Ischemia

References

Stroke Subtypes and Interventional Studies for Transient Ischemic Attack

Abstract

Acute Management of Patients with Transient Ischemic Attack Independently of Stroke Subtype

Large Artery Atherosclerotic Disease

Small Vessel Disease

Atrial Fibrillation

Conclusion

References

Antithrombotic Therapy in Transient Ischemic Attack Patients

Abstract

Antiplatelet Therapy

Anticoagulants

References

Author Index

Subject Index

Cover