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Old 07-16-2012
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Question TIA and thrombolytics

The management of a TIA is the SAME as for a stroke, except that thrombolytics are NOT indicated.

By definition, TIA presents exactly the same as a stroke, except that the symptoms last <24 hours.

And by definition Thrombolytics should be administered within 3 hours of onset of SYMPTOMS.

So WHY do they say Thrombolytics are Contra Indicated, if a patient comes with sudden focal neurologic symtpoms, clean CT without contrast--> we start thrombolytics, nobody waits 24 hours and says: Hey this is not a TIA lets push the thrombolytics..


Somebody that dominates this topic, help me clear this topic.
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Old 07-16-2012
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when patient presents with acute focal deficits and contrast CT is negative....tPA unless contraindicated is given. that means there is no TIA in the picture. that means "TIA" sucks ! thoughts?
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Old 07-16-2012
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Originally Posted by tyagee View Post
when patient presents with acute focal deficits and contrast CT is negative....tPA unless contraindicated is given. that means there is no TIA in the picture. that means "TIA" sucks ! thoughts?
That's what i mean... it's very confusing
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Old 07-17-2012
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I posted the same question a couple of days back. Looks like latingeorge, tyagee and me have the same doubt! Someone help!!
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Old 07-17-2012
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Originally Posted by iceman_purav View Post
I posted the same question a couple of days back. Looks like latingeorge, tyagee and me have the same doubt! Someone help!!
I've been reading a bit about it, and it seems that the definition for TIA is wide, saying 24 hours, but so far I've read a couple of cases in which, they present with focal neurological signs for lets say 20 minutes, others 2 hours.. and then disapear. I guess they meant no tPA in this cases.
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