Silent and Deadly
Transient ischemic attacks (TIAS), or mini-strokes, result from temporary
interruptions of blood flow to the brain. Unlike full strokes, they present
symptoms lasting anywhere from a few seconds to 24 hours. Rarely do they cause
permanent neurological damage, but they are often precursors of a major
stroke.
"Our message is quite clear," says Dr. Robert Adams,
professor of neurology at the Medical College of Georgia in August. "TIAS, while
less severe than strokes in the short term, are quite dangerous and need a quick
diagnosis and treatment as well as appropriate follow-up to prevent future
injury."
Unfortunately, mini-strokes are greatly under
diagnosed. A study conducted for the National Stroke Association indicates that
2.5% of all adults aged 18 or older (about 4.9 million people in the U. S. )
have experienced a confirmed TIA. An additional 1.2 million Americans over the
age of 45, the study showed, have most likely suffered a mini-stroke without
realizing it. These findings suggest that if the public knew how to spot the
symptoms of stroke, especially mini-strokes, and sought prompt medical
treatment, thousands of lives could he saved and major disability could be
avoided.
The problem is that the symptoms of a mini-stroke are
often subtle and passing. Nonetheless, there are signs you can look out
for:
*Numbness or weakness in the face, arm or leg, especially
on one side of the body.
*Trouble seeing in one or both
eyes.
*Confusion and difficulty speaking or
understanding.
*Difficulty walking, dizziness or loss of
coordination.
*Severe headache with no known cause.
Along with these symptoms, researchers have identified some key
indicators that increase your chances of having a full-blown stroke after a TIA:
if you’re over 60, have experienced symptoms lasting longer than 10 minutes,
feel weak and have a history of diabetes.
As with many
diseases, you can help yourself by changing your lifestyle. The first things you
should do are quit smoking, limit your intake of alcohol to no more than a drink
or two a day and increase your physical activity. Even those who suffer from
high blood pressure or diabetes can improve their odds—and minimize
complications if they do have a stroke—by keeping their illness under
control.
If you experience any of the symptoms, your first call
should be to your doctor. It could be the call that saves your life. Which of the following is NOT true of mini-strokes
A. The cause of them remains unidentified.
B. They seldom cause permanent neurological damage.
C. The symptoms of them are often passing.
D. They are not unrelated to major strokes.