{"product_id":"2940152885651","title":"Transient Ischemic Attack, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions","description":"\u003cp\u003eTransient ischemic attack\u003c\/p\u003e\u003cp\u003eToday a 60 year old man was brought in by his wife to consult me because he suddenly felt tiredness and weakness of one side of his body (right side) 1 week ago after shifting some heavy furniture.\u003cbr\u003eThe wife said that he was confused and went to the passenger seat instead of the driver’s seat. She had to drive him back home instead.\u003cbr\u003eOnce they reached home, he went to his bed and slept for 1 and a half days.\u003cbr\u003eShe was worried and took his blood pressure with her electronic BP set and found it to be 160\/100.\u003cbr\u003eShe was worried and brought him to see me as soon as she was able to persuade him to do so.\u003cbr\u003eOn examination he was conscious and rational.\u003cbr\u003eHis eye reflexes were normal.\u003cbr\u003eThere was no neurological deficit. Babinski reflexes were normal.\u003cbr\u003eHis blood pressure was 170\/100 which was definitely high.\u003cbr\u003eHeart and lung examination were normal.\u003cbr\u003eThere was no evidence of any abnormal hear rhythm.\u003cbr\u003eHis urine and bowel movements were normal.\u003cbr\u003eThere was no evidence of bruit in the neck due to blockage of any blood flow.\u003cbr\u003eBecause of his history of one sided weakness and high blood pressure, my first diagnosis of a transient ischemic attack.\u003cbr\u003eThe best diagnosis is a MRI of the brain but this normally takes time.\u003cbr\u003eThe alternative was a non-contrast computerized tomography of the brain that will show: 1. A new area of ischemia or infarction\u003cbr\u003e2. Old areas of ischemia\u003cbr\u003e3. Intracranial mass, such as tumor\u003cbr\u003e4. Intracranial bleeding, such as sub-dural hematoma or intra-cerebral hemorrhage\u003c\/p\u003e\u003cp\u003eHe was however stubborn about not going to hospital to take a CT Scan or blood tests in spite of his wife’s or my persuasions.\u003cbr\u003eI wrote him a letter to go to the hospital for a CT scan and neurological examination in case his family could change his mind.\u003cbr\u003eIn the meantime I started him on anti platelet medicines such as aspirin (which he was not allergic to) and amlodipine (which is a fast calcium channel blocker for lowering his blood pressure.)\u003cbr\u003eI am hopeful that he will be able to go to hospital for a checkup of his neurological and cardiovascular systems.\u003c\/p\u003e\u003cp\u003eA few years ago my wife’s uncle was walking in the hospital to visit his wife after her knee operation when a passing nurse noticed that he was walking to one side. She got him admitted and he was diagnosed as a transient ischemic attack which later became a full blown stroke in spite of treatment.\u003c\/p\u003e\u003cp\u003eWhat is a Transient Ischemic Attack?\u003c\/p\u003e\u003cp\u003eA transient ischemic attack (TIA) is a medical disorder that occurs when blood flow to a part of the brain stops for a brief time.\u003c\/p\u003e\u003cp\u003eMost TIAs last less than five minutes; the average is about a minute.\u003c\/p\u003e\u003cp\u003eWhen a TIA is over, it usually causes no permanent injury to the brain\u003c\/p\u003e\u003cp\u003eA person will have stroke-like symptoms for up to 24 hours.\u003c\/p\u003e\u003cp\u003eIn most cases, the symptoms last for 1 to 2 hours.\u003c\/p\u003e\u003cp\u003eTIA symptoms occur rapidly and last a relatively short time.\u003c\/p\u003e\u003cp\u003eA TIA is felt to be an indicator that a classic stroke may occur in the future if something is not done to prevent it.\u003c\/p\u003e\u003cp\u003eWhat are the causes of Transient Ischemic Attack?\u003c\/p\u003e\u003cp\u003eCauses\u003c\/p\u003e\u003cp\u003eA TIA is different than a stroke.\u003c\/p\u003e\u003cp\u003eAfter a TIA, the blockage breaks up quickly and disappears.\u003c\/p\u003e\u003cp\u003eA TIA does not produce brain tissue death.\u003c\/p\u003e\u003cp\u003eThe loss of blood flow to an area of the brain can be caused by:\u003c\/p\u003e\u003cp\u003e1. A blood clot in an artery of the brain\u003cbr\u003e2. A blood clot that travels to the brain from somewhere else in the body (for example, from the heart)\u003cbr\u003e3. An injury to blood vessels\u003cbr\u003e4. Narrowing of a blood vessel in the brain or leading to the brain\u003c\/p\u003e\u003cp\u003eHigh blood pressure is the main danger for TIAs and stroke.\u003c\/p\u003e\u003cp\u003eThe other major risk factors are:\u003c\/p\u003e\u003cp\u003e1. Atrial fibrillation\u003cbr\u003e2. Diabetes\u003cbr\u003e3. Family history of stroke\u003cbr\u003e4. High cholesterol\u003cbr\u003e5. Increasing age, especially after age 55\u003cbr\u003e6. Race (African Americans are more likely to die of stroke)\u003cbr\u003e7. Smoking\u003c\/p\u003e\u003cp\u003eIntroduction\u003c\/p\u003e\u003cp\u003eChapter 1 Transient Ischemic Attack\u003c\/p\u003e\u003cp\u003eChapter 2 Causes\u003c\/p\u003e\u003cp\u003eChapter 3 Symptoms\u003c\/p\u003e\u003cp\u003eChapter 4 Diagnosis\u003c\/p\u003e\u003cp\u003eChapter 5 Treatment\u003c\/p\u003e\u003cp\u003eChapter 6 Prognosis\u003c\/p\u003e\u003cp\u003eChapter 7 Stroke\u003c\/p\u003e\u003cp\u003eChapter 8 Hypertension\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47113516613872,"sku":"2940152885651","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940152885651_p0.jpg?v=1764028300","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940152885651","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}