TIA (mini-stroke) urgent assessment and stroke prevention in Noida. Dr. Kapil Singhal and Dr. Girish Rajpal at Medanta Hospital — carotid imaging, antiplatelets, risk factor control. Team Sushrut.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
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 within 2 weeks for significant carotid stenosis (>70%)
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Aggressive risk factor control
blood pressure, cholesterol, diabetes,
