When should a neurologist be consulted in the evaluation of transient ischemic attack (TIA)?

Updated: Dec 03, 2018
  • Author: Ashish Nanda, MD; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

Ideally, decisions regarding ED evaluation and inpatient versus rapid outpatient follow-up are made in concert with a neurologist. There is clear consensus on the importance of rapid evaluation. [4] For example, in the EXPRESS (Early use of eXisting PREventive Strategies for Stroke) study, the 90-day risk of recurrent stroke in patients with TIA or minor stroke was 10.3% in those patients who underwent assessment after a median of 3 days, compared with 2.1% in those assessed in a median of 1 day, who then received prompt treatment. [50]


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