Transient Ischemic Attacks (TIA)
North South North West Statewide
An appointment for TIA clinic can only be obtained through direct discussion with the Stroke Registrar (within hours) or on call Consultant (after hours). The referral, after discussion, should be faxed to the Neurology department on (03) 6173 0292.
Vascular risk factors: Smoking, hypertension, dyslipidaemia, diabetes, family history, obesity
ABCD2 score is a useful assessment tool in cases of TIA (not stroke) which assists in identifying those patients with a suspected or definite TIA who are at high risk of stroke however all cases of suspected TIA require urgent assessment regardless of their score.
|A||Age ≥ 60 years||= 1 point|
|B||BP > 140 systolic ±diastolic ≥90||= 1 point|
= 2 points
= 1 point
Duration of TIA:
= 2 points
= 1 point
= 0 points
|D||Diabetes||= 1 point|
Ischemic stroke presenting within 4.5 hours are eligible for consideration of thrombolysis.
If the patient still has residual neurological symptoms or signs they should attend the Emergency Department immediately.
Tests to consider:
- CT brain - should be done prior to clinic appointment
- Carotid ultrasound – if possible done prior to clinic appointment
- Coagulation profile including INR if warfarnised
- Fasting lipids
- Fasting cholesterol
- ECG (? AF) +/- Holter if intermittent palpitations or cardiac risks for paroxysmal AF
To refer a patient with this condition, please see the Neurology clinic page for the full referral process and templates.
Add or escalate antiplatelet therapy if there is no evidence of haemorrhage on CT brain.
Instruct patient to attend emergency if develops new symptoms or signs prior to clinic appointment.
For more information please see the Tasmanian Health Pathways website.
Acute stroke – residual neurological signs at time of examination
Urgent / category 1
All other suspected TIA
Routine / category 3
Incidental finding of old stroke on cerebral imaging done for other reasons
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
We will endeavour to see these patients within two weeks.
Urgent referrals should be accompanied by a phone call, as per below:
- Contact the Neurology Registrar directly within hours via the RHH switchboard Phone: (03) 6166 8308
Next available appointment