Kristin Kramer’s morning 10 years ago started off like any other, with her dogs needing to go outside. However, things took a strange turn when she found herself unable to speak and noticed her right hand wasn’t functioning properly. Despite these alarming symptoms, she decided to go back to bed and brush it off as nothing major. It wasn’t until later that she realized she had experienced a transient ischemic attack (TIA) or ministroke.
Unfortunately, this is a common response to TIAs, as the symptoms typically disappear quickly, leading people to delay seeking medical attention. Kramer, now 54 and an office manager in Muncie, Indiana, eventually sought help after experiencing arm tingling and difficulty speaking. A visit to the doctor confirmed that she had indeed had a small stroke.
A recent study by researchers at the University of Alabama-Birmingham and the University of Cincinnati published in JAMA Neurology sheds light on the long-term effects of TIAs on cognitive function. The study found that participants who had experienced TIAs showed a decline in cognitive performance similar to that of individuals who had suffered a full-blown stroke.
Lead author Victor Del Bene, a neuropsychologist, explained that the cognitive decline after a TIA is not as severe as dementia but does represent an altered trajectory in cognitive ability. The study followed over 30,000 participants for five years, comparing those who had TIAs, strokes, and a control group with no history of either.
Despite the findings, there is still a lack of urgency in responding to TIAs. Neurologists emphasize the importance of seeking immediate medical attention after experiencing symptoms like balance loss, eyesight changes, facial drooping, arm weakness, or speech problems. Delaying treatment can significantly increase the risk of a subsequent stroke.
Experts recommend a more aggressive approach to treating TIAs, including imaging, risk assessment, medication, and lifestyle changes to reduce stroke risk. While changing medical practices can be slow, the importance of responding promptly to TIAs cannot be overstated.
Stories like Wanda Mercer’s serve as a reminder of the importance of taking TIAs seriously. Mercer’s quick thinking and the actions of those around her led to a prompt diagnosis and treatment after she experienced a minor stroke. Now, at 73, she leads an active and fulfilling life, grateful for her second chance.
In conclusion, TIAs may not always appear dramatic, but they can have long-lasting effects on cognitive function if not addressed promptly. By recognizing the symptoms and seeking immediate medical attention, individuals can reduce their risk of a more serious stroke and protect their cognitive health in the long run.
