Transient ischaemic attacks (TIA): clinical features

Evidence-based neurology checklist on transient ischaemic attacks (tia): clinical features: Ophthalmic features Amaurosis fugax: transient monocular blindness (TMB) Binocular visual disturbance Isolated diplopia Hemianopia Focal limb deficits Focal bulbar deficits Cerebral features Brainstem…

Ophthalmic features

  • Amaurosis fugax: transient monocular blindness (TMB)
  • Binocular visual disturbance
  • Isolated diplopia
  • Hemianopia

Focal limb deficits

Focal bulbar deficits

Cerebral features

Brainstem features

Autonomic features

Up-going thumb sign

Differential diagnosis: of transient monocular blindness (TMB)

Differential diagnosis: others

References

  1. Compter A, Kappelle LJ, Algra A, van der Worp HB. Nonfocal symptoms are more frequent in patients with vertebral artery than carotid artery stenosis. Cerebrovasc Dis 2013; 35:378-384. 
  2. Paul NM, Simoni M, Rothwell PM, et al. Transient isolated brainstem symptoms preceding posterior circulation stroke: a population-based study. Lancet Neurol 2013; 12:65-71.
  3. Ishihara T, Sato S, Uehara T, et al; PROMISE-TIA Study Investigators. Significance of nonfocal symptoms in patients with transient ischemic attack. Stroke 2018; 49:1893-1898. 
  4. Klempen NL, Janardhan V, Schwartz RB, Stieg PE. Shaking limb transient ischemic attacks: unusual presentation of carotid artery occlusive disease: report of two cases. Neurosurgery 2002; 51:483-487.
  5. Abbas A, Nader K, Tiwari A, Viruthagiri A, Littleton E. Image of the month: Brachiocephalic arterial occlusive limb-shaking transient ischaemic attacks. Clin Med (Lond) 2018; 18:435-436.
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