Should We Treat a Patient's Symptoms or Angiography Image in TIA? Two Case Reports

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F16%3A00065818" target="_blank" >RIV/00159816:_____/16:00065818 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/16:00092489

Result on the web

<a href="http://dx.doi.org/10.1097/NRL.0000000000000093" target="_blank" >http://dx.doi.org/10.1097/NRL.0000000000000093</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/NRL.0000000000000093" target="_blank" >10.1097/NRL.0000000000000093</a>

Result language

angličtina

Original language name

Should We Treat a Patient's Symptoms or Angiography Image in TIA? Two Case Reports

Original language description

Objectives: Data on vascular status in the first hours after onset of transient ischemic attack (TIA) and its clinical significance are missing. Also, it is not known whether arterial occlusion, if present in TIA, should be the target for revascularization. We present 2 patients to demonstrate that TIA can be due to acute major intracranial arterial occlusion and to show how such arterial occlusion may affect the outcome. Case reports: Two patients (54 and 63 years old) were diagnosed with TIA and at the same time had occlusion of the middle cerebral artery. No recanalization therapy was performed, as there was no or minimal neurological deficit. After several hours, the condition of both patients clinically deteriorated. One patient experienced spontaneous recanalization in the first 24 hours and clinical improvement over the subsequent days, resulting in complete resolution of the neurological deficit. The other patient did not recanalize and developed a significant brain infarction as well as hemorrhagic transformation requiring decompression surgery. Over the long term, the patient remained hemiplegic, unable to walk, and dependent on assistance for most activities of daily living. Conclusions: The cases presented here raise important questions: (1) How frequently is arterial occlusion present in clinically asymptomatic patients? (2) If occlusion is present but not symptoms, is stroke a more correct diagnosis than TIA? and (3) What would be the benefit of recanalization therapy? Studies addressing these questions should be conducted.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FH - Neurology, neuro-surgery, nuero-sciences

OECD FORD branch

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Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Neurologist

ISSN

1074-7931

e-ISSN

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Volume of the periodical

21

Issue of the periodical within the volume

6

Country of publishing house

US - UNITED STATES

Number of pages

4

Pages from-to

87-90

UT code for WoS article

000387678000001

EID of the result in the Scopus database

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