Transient Ischemic Attack Definition, Causes, Symptoms and Treatment Cost in India

أسباب

Blood and oxygen are carried to the brain through major blood vessels in the neck. The blood then passes through a series of blood vessels in the brain. A TIA occurs when the blood flow through the neck or brain vessels is reduced. The blood flow may be reduced by a narrowing or blockage of the blood vessels.

Narrowing of the blood vessels may occur with:

• Build up of plaque in the blood vessels, called atherosclerosis
• Vasculitis—swelling of the blood vessels

Blood vessels can also become blocked or obstructed by a clot or clump that is floating in the blood. This may be caused by:

• A piece of blood clot or plaque that has broken off of another location
• Blood and blood-clotting disorders such as:
  • Anemia (too few red blood cells)
  • Polycythemia (too many red blood cells)
  • Hyperviscosity (abnormal thickening of the blood)
• Endocarditis (infection of the lining of the heart)

عوامل الخطر

Certain chronic حالات طبيه can affect the health of your blood vessels. The following condition may increase your chance or cause TIA:

• ضغط دم مرتفع
• مرض السكري
• Atrial fibrillation.

Other factors that increase your chance for TIA include:

• Family history of stroke
• Age: 45 years or older (highest risk 60-80 years of age); more common in men than women in younger age groups
• التدخين
• الإفراط في استخدام الكحول
• عالي الدهون
• السمنة
• تأكيد medical conditions:
  • مرض قلبي
  • توقف التنفس أثناء النوم
  • الإيدز

الأعراض

TIA symptoms occur abruptly. They usually last less than 10 minutes or they may persist for up to 24 hours. The symptoms are different depending on the part of the brain that is affected. TIA symptoms are similar to those of a stroke and need immediate medical attention.

قد تشمل الأعراض ما يلي:

• Blindness in one eye, often described as a window shade dropping, and/or other visual problems
• Weakness, numbness, or tingling of the face, arm, leg, or one side of the body (usually affects one side of the body, but there are exceptions).
• Difficulty speaking or understanding words
• Dizziness, unsteadiness of gait, or falling
• Trouble with balance or coordination
• فقدان الوعي
• الغثيان
• القيء
• Sudden confusion or loss of memory

التشخيص

The doctor will ask about your symptoms and medial history. A physical exam will be done. Your doctor will carefully assess your blood pressure and nervous system. The main goal of tests or questions will be to determine your stroke risk.

قد تشمل الاختبارات ما يلي:

• Blood tests—such as a complete blood count, blood sugar (glucose), cholesterol and other fat levels, clotting factors, and a check of other elements in the blood
• Electrocardiogram (ECG) —to measure heart rhythm (which would be irregular in, for example, atrial fibrillation) and check for other signs of heart disease
• Doppler ultrasound —a test that uses sound waves to help determine if there is compromised blood flow in the arteries supplying the brain
• Echocardiogram —another ultrasound test to look for blood clots and valve abnormalities within the heart
• التصوير المقطعي (CT) scan of the head —a type of x-ray that uses a computer to create images of structures inside the head; in this case, to look for evidence of bleeding or other damage to the brain
• CT angiogram (CTA)—a CT scan which uses dye to evaluate the blood vessels in the brain and neck.
• Magnetic resonance imaging (MRI) scan of the head —a test that uses powerful magnetic radio waves to create images of structures inside the head; in this case, to look for evidence of bleeding or other damage to the brain
• Magnetic resonance angiography (MRA) —a study of the blood vessels using MRI, creating two-dimensional and three-dimensional pictures.
• Arteriogram /angiogram—a test in which contrast dye is injected into selected arteries and x-ray images are produced to precisely locate the blockage or narrowing and to determine its extent
• Electroencephalogram (EEG) —a test that can detect the presence of seizures by measuring brain waves (used only if a seizure is suspected)

العلاج

A TIA places you at greater risk for having a stroke. The risk is actually highest in the first week after your TIA. Therefore, rapid treatment aims to decrease your risk of stroke. This can be done with lifestyle changes, medicine, and surgery.

الوقاية

The following strategies may help reduce the chance of TIAs and stroke:

• Exercise regularly, with your doctor’s approval.
• Eat a healthful diet. It should be low in saturated fat and rich in whole grains,fruits, and vegetables.
• الحفاظ على وزن صحي.
• إذا كنت تدخن، فتوقف عن التدخين.
• اشرب الكحول باعتدال. لا يزيد تناول الكحول باعتدال عن مشروبين في اليوم للرجال ومشروب واحد في اليوم للنساء.
• Control blood pressure, high cholesterol, and diabetes with medicines as needed.