For a lot of people, a mini-stroke definitely feels like a brief scare - an episode that may pass as quickly as it arrives. Once the weakness goes away, speech becomes normal, and vision clears – life moves on, and they are back to square one. However, neurologists warn that this momentary relief can be dangerously misleading. “Many people walk away from a mini-stroke, or what we medically call a Transient Ischemic Attack (TIA), because the symptoms disappear within minutes or hours. That is the biggest mistake,” Dr Kapil Khandelwal, senior consultant, Neurology, CK Birla Hospital, told Times Now. Unlike a major stroke, a TIA does not cause permanent damage right away. Blood flow to the brain gets briefly interrupted, triggering symptoms that may last
only minutes or a few hours. But because the signs disappear, many people assume the danger has passed. According to doctors, that assumption can be fatal. “A TIA is not harmless; it is the brain’s warning shot. Symptoms like sudden weakness on one side, slurred speech, brief vision loss, dizziness, or confusion, even if short-lived, should never be ignored,” Dr Khandelwal added.
What are the symptoms of TIA?
According to Dr Khandelwal, the symptoms of a TIA often come suddenly:
- Weakness or numbness on one side of the body
- Slurred or garbled speech
- Temporary loss of vision
- Dizziness
- Imbalance
- Confusion
“Even if these symptoms last for just a short time, they should never be ignored,” he stresses. “Your brain is telling you something is wrong.”
Doctors worry about what happens next
What worries doctors most is what happens next, or rather, what doesn’t happen. “A significant number of patients come to us only after a major stroke, and when we look back, there was a clear history of a TIA days or weeks earlier,” the doctor says. “A TIA strongly predicts a future stroke, often within the first 48 hours to three months,” he added. In many cases, that earlier warning was dismissed as fatigue, stress, or low blood sugar.
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A TIA can be extremely dangerous in the future
According to studies, like the ones published in the National Institutes of Health, medical data paints a sobering picture. A TIA is one of the strongest predictors of a future stroke. The risk is highest in the first 48 hours, but remains elevated for up to three months. “The brain rarely gives second chances,” Dr Khandelwal warns. “A TIA is often the final alert before a disabling or life-threatening stroke.” The tragedy is that this outcome is often preventable. “The good news is that timely medical evaluation after a TIA can save lives,” the doctor explains. Early brain imaging can detect silent damage or blocked vessels. Heart evaluations can uncover rhythm problems like atrial fibrillation. Blood pressure, cholesterol, diabetes, and clotting risks can be aggressively controlled. With prompt treatment like medication, changes in lifestyle, and important procedures when needed, patients can avoid a major stroke altogether and preserve their independence. Yet prevention depends on one crucial step, which is to seek help immediately. Doctors urge people to treat TIA symptoms with the same urgency as a full-blown stroke. If sudden neurological symptoms appear, even briefly, emergency medical care is essential. In stroke care, time is everything. And when the brain sends a warning, even one that fades quickly, it is a message worth listening to.