Transient ischaemic attacks (TIA): complications

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Transient ischaemic attacks (TIA): complications. Recurrent TIAs, Silent infarcts: these develop in 37% of cases. Fully referenced neurology checklist.

Short term complications

  • Recurrent TIAs
  • Silent infarcts: these develop in 37% of cases
  • Stroke: the risk is about 10% at 90 days

Long-term complications

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Risk factors for recurrent TIA

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Risk factors for 7-day stroke: ABCD2 score prediction

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References

  1. Hill MD, Yiannakoulias N, Jeetakathil T, Tu JV, Svenson LW, Schopflocher DP. The high risk of stroke immediately after transient ischemic attack: a population-based study. Neurology 2004; 62:2015-2020.
  2. Wallets RJL, Fox NC, Schott JM, et al. Transient ischaemic attacks are associated with increased rates of global cerebral atrophy. JNNP 2003; 74:213-216.
  3. Turner GM, Calvert M, Feltham MG, Ryan R, Marshall T. Ongoing impairments following transient ischaemic attack: retrospective cohort study. Eur J Neurol 2016; 23:1642-1650.
  4. Kjörk E, Blomstrand C, Carlsson G, Lundgren-Nilsson Å, Gustafsson C. Daily life consequences, cognitive impairment, and fatigue after transient ischemic attack. Acta Neurol Scand 2015; doi: 10.1111/ane.12435 (Epub ahead of print).
  5. Roesen P, Temuulen U, Rios AS, et al. Baseline cerebral small vessel disease predicting long-term cognitive decline in transient ischemic attack patients. Eur J Neurol 2026; 33:e70578.
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