PMID: 22343148Feb 22, 2012Paper

Patients referred for TIA may still have persisting neurological deficits

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
Francois Moreau FRCPC for the ASPIRE investigators

Abstract

The presence of residual neurological deficits after neurological symptoms is important information for making a diagnosis of Transient Ischemic Attack (TIA) versus stroke. The purpose of this study was to establish the reliability of the referring physician (non neurologist) to report focal neurological deficits in the context of an urgent referral for TIA. Prospectively recorded urgent physician-to-physician phone referrals for TIA through the Southern Alberta TIA hotline from March 2009 to July 2010 were reviewed. "Has the neurological deficit completely resolved?" was asked to the referring physician (family or emergency room physician) and recorded prospectively as a yes/no response. Patients were included if a neurological examination was performed by a neurologist on the same day as referral. The neurologist's assessment of whether the deficit had resolved was compared to that of the referring physician. 78 patients were included in this study. 62 patients had resolved as per the referring physician's assessment. Of these 62 patients, 16 (25.8% 95%CI 16-38) had evidence of persisting neurological deficits on the neurologist's assessment. A wide variety of mild neurological deficits were identified. None of these deficits...Continue Reading

References

Jul 1, 1984·Stroke; a Journal of Cerebral Circulation·C L KraaijeveldA Staal
Jan 1, 1982·Stroke; a Journal of Cerebral Circulation·F TomaselloG Sangiovanni
Jan 9, 2001·JAMA : the Journal of the American Medical Association·S C JohnstonS Sidney
Nov 22, 2002·The New England Journal of Medicine·Gregory W AlbersUNKNOWN TIA Working Group
Oct 12, 2007·Lancet·Peter M RothwellUNKNOWN Early use of Existing Preventive Strategies for Stroke (EXPRESS) study
Jul 12, 2008·Stroke; a Journal of Cerebral Circulation·Shelagh B CouttsUNKNOWN VISION study group
May 19, 2009·Cerebrovascular Diseases·Sarah T Pendlebury, Peter M Rothwell
Jun 3, 2009·Neurology·A ChandrathevaUNKNOWN Oxford Vascular Study
May 29, 2010·Stroke; a Journal of Cerebral Circulation·James CastleJean-Marc Olivot

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Citations

May 9, 2015·Acta Neurologica Scandinavica·E KjörkC Gustafsson
Jul 5, 2016·Frontiers in Neurology·Aleksandra YakhkindShadi Yaghi
Oct 16, 2016·Emergency Medicine Clinics of North America·Andrea Duca, Andy Jagoda
May 9, 2013·Stroke; a Journal of Cerebral Circulation·Yannick BéjotPeter M Rothwell
Aug 3, 2013·Stroke; a Journal of Cerebral Circulation·Negar AsdaghiShelagh B Coutts
Dec 6, 2018·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Noreen KamalJennifer Bestard
Dec 7, 2018·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Farah N ChowdhuryDilini P Vethanayagam

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