TIA (Transient Ischemic Attack)

Updated:Mar 28,2016
View a detailed animation of TIA (opens in new window)

Excerpted from “Why Rush?”, Stroke Connection January/February 2009 (Science update October 2012)

While transient ischemic attack (TIA) is often labeled “mini-stroke,” it is more accurately characterized as a “warning stroke,” a warning you should take very seriously.

TIA is caused by a clot; the only difference between a stroke and TIA is that with TIA the blockage is transient (temporary). TIA symptoms occur rapidly and last a relatively short time. Most TIAs last less than five minutes; the average is about a minute. When a TIA is over, it usually causes no permanent injury to the brain. View a detailed animation of TIA.

Why do some clots dissolve while others don’t?

According to Dr. Emil Matarese, director of a primary stroke center at St. Mary’s Medical Center in Langhorne, Pa., the body has naturally occurring clot-busting agents. “Eventually all clots will dissolve, but whether there is damage depends on how long the clot is in place,” Dr. Matarese said. However, because there is no way to predict when a clot will dissolve on its own, time is of the essence. “Whenever you have stroke symptoms, dial 9-1-1 immediately and get to the emergency room so you can be evaluated. Don’t wait to see if the symptoms go away.”

While the vast majority of strokes are not preceded by TIA, about a third of people who experience TIA go on to have a stroke within a year. “TIA is a warning stroke and gives a patient time to act and keep a permanent stroke from occurring,” Dr. Matarese said. “By recognizing TIA symptoms and getting to the hospital, the patient can get help in identifying why the TIA occurred and get treatment — either through medication or surgery — that can prevent a stroke from occurring.”

If a survivor experiences TIA after they have had a stroke, they should go to the emergency room immediately because something in their treatment plan has not worked.

In essence, according to Dr. Matarese, there should be no difference in response to a TIA or a stroke. Although a TIA resolves itself before there is damage, there is no way to predict which clots will dissolve on their own. Stroke — and TIA — are medical emergencies; dial 9-1-1 and tell the operator you think it’s a stroke and note the time the symptoms started. Remember: Time lost is brain lost.

F.A.S.T. is an easy way to remember the sudden signs and symptoms of a stroke:

FFace Drooping
AArm Weakness
SSpeech Difficulty
TTime to call 911

Additional signs of a stroke may include:

  • Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
  • Sudden confusion, trouble speaking or understanding
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, lack of balance or coordination
  • Sudden severe headache with no known cause

Stroke Warning Signs and Symptoms

Stroke Resource Center

SRC 2016 widget

Find patient education and marketing materials in our resource center.

Updated Guidelines for Acute Ischemic Strokes

AIS Guidelines Update-Stroke Home widget

Infographic: Attacking Brain Clots to Save Lives

Cryptogenic Stroke Patient Guide

CS stroke home -patient widget

Let's Talk About Stroke Fact Sheets

Stroke fact sheets

Our stroke fact sheets cover treatments, recovery, prevention and warning signs. These sheets will help you take action to reduce your risk and understand your condition. 

Support Network

Support Network widget5