Transient unilateral weakness: is it a transient ischaemic attack?

Br J Hosp Med (Lond). 2022 Nov 2;83(11):1-7. doi: 10.12968/hmed.2022.0414. Epub 2022 Nov 25.

Abstract

Transient ischaemic attack is an emergency medical condition that causes brief negative focal neurological symptoms such as unilateral weakness. The symptoms herald a high risk of stroke and hence require urgent assessment. The challenge lies in the brevity and compendium of associated symptoms that can 'mimic' a plethora of other conditions. The result is a high rate of referrals to transient ischaemic attack clinics for these stroke mimics. This article highlights the diagnostic challenges in transient ischaemic attack with relevance to unilateral weakness.

Keywords: Stroke mimics; Transient ischaemic attack; Unilateral weakness.

Publication types

  • Review

MeSH terms

  • Humans
  • Ischemic Attack, Transient* / diagnosis
  • Ischemic Attack, Transient* / etiology
  • Referral and Consultation
  • Stroke* / complications
  • Stroke* / diagnosis