Transient Ischemic Attack (TIA)

Request an Appointment

You can schedule an appointment with our neurology team by calling 617-207-6143 or by submitting a request through our secure online form. We're here to support you every step of the way.

A transient ischemic attack (TIA) occurs when there is a temporary loss of blood flow to the brain. TIAs, like strokes, can have various underlying causes.

What Is a TIA?

A transient ischemic attack is the medical name for a condition that is often called a "mini-stroke." A TIA starts like a stroke—with a blockage of blood flow to the brain—but resolves on its own, usually within a few minutes. Transient ischemic attacks often don't cause lasting damage, but they are a warning that you are susceptible to a stroke. Roughly 15% of all strokes are preceded by transient ischemic attacks.

What Is a Mini-Stroke?

"Mini-stroke" is an older, descriptive term for a transient ischemic attack. There's no medical difference between the two terms.

Transient Ischemic Attack Symptoms

Symptoms of TIA resemble stroke symptoms. During a TIA, you may experience:

  • Dizziness or lightheadedness
  • Vision problems (blurred or double vision, blindness)
  • Weakness or paralysis on one side
  • Speech difficulty

Because there isn't much difference between symptoms of TIA and symptoms of a stroke, there's no way to tell in the moment which one you're having. It's crucial to get treatment immediately in the event of a TIA. A neurologist can determine what caused the transient ischemic attack and evaluate your risk of a stroke in the future.

Post-TIA Symptoms

You should not experience long-term effects after a TIA. However, if you continue to experience symptoms, it's important to see your doctor for evaluation.

How Serious Is a Transient Ischemic Attack?

A transient ischemic attack is a serious medical issue. You should seek immediate medical attention if you experience one.

Unfortunately, studies show that more than a third of people who suffer a TIA don't get immediate care because it "doesn't feel like an emergency."

Are There Warning Signs Before a TIA?

Transient ischemic attacks occur suddenly and without warning. It's more accurate to think of TIAs as a warning themselves. Your short-term risk of stroke rises dramatically after a TIA.

What Causes a Transient Ischemic Attack?

Mini-stroke causes are the same as the causes of full strokes. In both cases, something stops blood from reaching your brain. Usually, the cause is plaque, a fatty deposit that builds up and eventually creates a temporary blockage preventing blood flow, a condition called atherosclerosis.

Risk Factors for TIA

Transient ischemic attacks are more common among people:

  • Biologically male
  • Over age 55
  • With a family history of TIA or stroke
  • With high blood pressure or diabetes
  • Who smoke or have a history of smoking

Can Stress Cause a TIA?

Some studies have shown a relationship between stress, negative emotions (such as depression or hostility), and risk of TIA or stroke. Further research is needed to understand the exact causal relationship.

How to Treat Transient Ischemic Attack

Immediate treatment for a TIA focuses on identifying the source of the problem. Your doctors may perform tests such as brain imaging (CT or MRI scans), imaging of the blood vessels in your head and neck, and imaging of your heart to determine the cause of your TIA.

Because risk of a stroke is high after a TIA, doctors may prescribe medications to reduce your risk of stroke, depending on your risk level and what they find during your physical examination and scans. Possible TIA treatments to reduce future risk include:

  • Blood thinners
  • Minimally invasive catheter procedures
  • Surgery

FAQs About Transient Ischemic Attacks

Request an Appointment

You can schedule an appointment with our neurology team by calling 617-207-6143 or by submitting a request through our secure online form. We're here to support you every step of the way.

Learn more about Brigham and Women's Hospital


For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery.

About BWH