A GP guide to brief neurological disturbances
Distinguishing symptoms as either ischaemic or non-ischaemic can be difficult on clinical grounds alone but is greatly aided by neurovascular imaging
Transient neurological attacks (TNA) are common in the elderly and increase in frequency with age.1,2
Such patients pose a challenging dilemma as symptoms are often non-specific, aetiologies are diverse and history may be misreported by individuals or misinterpreted by clinicians.3
The challenge of clinical diagnostic accuracy is highlighted by relatively low rates of interobserver agreement in transient ischaemic attack assessment even amongst stroke-trained neurologists.4
General practice–based studies demonstrate scope for significant improvement in knowledge of transient ischaemic attack presentations and management.5,6
