Transient Ischaemic Attack (TIA) — Urgent Stroke Prevention in Noida

TIA (mini-stroke) urgent assessment and stroke prevention and management in Noida. Dr. Kapil Singhal, Dr. Namita Kaul and Dr. Girish Rajpal at Medanta Hospital — carotid imaging, antiplatelets, risk factor control. Team Sushrut.

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Overview

A transient ischaemic attack (TIA) is a brief episode of neurological dysfunction caused by temporary disruption of blood supply to the brain — lasting minutes (usually under an hour) and resolving fully without permanent damage. However, a TIA is not trivial: one in ten patients has a stroke within 7 days of a TIA, with the highest risk in the first 24–48 hours. TIA is a medical emergency requiring same-day evaluation, risk stratification (ABCD2 score), imaging (CT/MRI, carotid ultrasound, echocardiography), and immediate preventive treatment. At Medanta Hospital, Sector 50, Noida, Team Sushrut provides urgent TIA assessment and management.

Symptoms

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Same symptoms as stroke but lasting minutes and fully resolving:
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Face drooping or numbness (one side)
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Arm or leg weakness (one side)
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Speech difficulty
slurring, word-finding difficulty
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Vision loss in one eye (amaurosis fugax)
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Dizziness, double vision, loss of balance (posterior circulation TIA)
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Fully recovered by the time of evaluation

Treatments

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Immediate dual antiplatelet therapy (aspirin + clopidogrel for 21 days)
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Urgent carotid duplex ultrasound and CT/MR angiography
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Echocardiography and 24-hour Holter monitoring for AF detection
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Anticoagulation if atrial fibrillation is detected
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Carotid endarterectomy or Carotid Angioplasty and Stenting within 2 weeks for significant carotid stenosis (>70%)
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Aggressive risk factor control
blood pressure, cholesterol, diabetes,
Your Specialists Team

Dr. Kapil Singhal

Director – Neurology

M.D.  D.M

Dr. Namita Kaul

Director – Neurology

M.D.  DNB

Dr. Girish Rajpal

Director – Neurointervention Surgery and Stroke

M.Ch, AFSA, FINR

Dr. Deepak Lohia

Consultant – Neurosurgeon and Endovascular Neurosurgeon

M.Ch, Fellow Osaka Metropolitan University, Japan

Dr. Payas Joshi

Consultant – Neurology

DNB

Dr. Prerna Dogra

Consultant – Neurology

DNB

FAQ
Is a TIA serious even if symptoms have resolved?

Yes — extremely serious. A TIA is a warning of impending stroke. The risk of stroke in the 48 hours after TIA is approximately 3–10%. Urgent TIA assessment and treatment — initiated within 24 hours — reduces the risk of subsequent stroke by up to 80%. Do not wait for the next routine appointment after a TIA — present for emergency assessment that same day.

What is the ABCD2 score for TIA?

The ABCD2 score risk-stratifies TIA patients: Age (≥60: 1pt), Blood pressure (≥140/90: 1pt), Clinical features (unilateral weakness: 2pts; speech disturbance alone: 1pt), Duration (≥60 min: 2pts; 10–59 min: 1pt), Diabetes (1pt). Score 0–3 = low risk; 4–5 = moderate; 6–7 = high risk. High-risk patients require in-patient evaluation and treatment. Dr. Singhal's team applies this at Medanta Noida.

What is carotid endarterectomy and when is it needed?

Carotid endarterectomy (CEA) is a surgical procedure to remove atherosclerotic plaque from the internal carotid artery, reducing stroke risk from carotid stenosis. It is indicated within 2 weeks of TIA or minor stroke when ipsilateral carotid stenosis is 70–99%. Beyond this window, the benefit declines. CEA is performed by Dr. Manish Vaish at Medanta Hospital, Sector 50,  Noida. 

What is carotid stenting and when is it needed?

Carotid artery stenting is an alternative for patients unfit for surgery. It's a Endovascular procedure done through femoral/radial artery via tiny puncture. It is indicated within 2 weeks of TIA or minor stroke when ipsilateral carotid stenosis is 70–99%. Beyond this window, the benefit declines.

Where is urgent TIA assessment available in Noida?

Medanta Hospital, Sector 50, Noida provides urgent TIA evaluation and treatment. Dr. Kapil Singhal , Dr. Namita Kaul, Dr. Payas Joshi , Dr. Prerna Dogra, Dr. Girish Rajpal and Dr Deepak Lohia see TIA patients on a same-day or next-day basis. Contact Team Sushrut at +91 98103 24401 immediately if a TIA is suspected.

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