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Clinical Practice
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Volume 347:1687-1692 November 21, 2002 Number 21
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Transient Ischemic Attack
S. Claiborne Johnston, M.D., Ph.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Commentary
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 by Fisher, C. M.
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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 72-year-old woman telephones her physician immediately after recovering from a 30-minute episode of difficulty speaking and weakness of the right side of the face and right arm. Her medical history is unremarkable. How should she be treated?

The Clinical Problem

In the United States, estimates of the annual incidence of transient ischemic attacks that come to medical attention vary from 200,000 to 500,000. The . . . [Full Text of this Article]

Strategies and Evidence

Risk of Stroke after Transient Ischemic Attack

Evaluation

Treatment

            Aspirin and Other Antiplatelet Agents

            Anticoagulant Therapy

            Carotid Endarterectomy

Treatment of Risk Factors for Cardiovascular Disease

Areas of Uncertainty

Guidelines

Conclusions and Recommendations


Source Information

From the Departments of Neurology and Epidemiology–Biostatistics, University of California–San Francisco, San Francisco.

Address reprint requests to Dr. Johnston at the Department of Neurology, Box 0114, University of California–San Francisco, 505 Parnassus Ave., M-798, San Francisco, CA 94143-0114, or at clay.johnston@ucsfmedctr.org.


Related Letters:

Transient Ischemic Attack
Eimer M. J., Rajamannan N. M., Johnston S. C.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:1606, Apr 17, 2003. Correspondence

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