Do all patients referred for acute symptoms of TIA or minor stroke require additional imaging with CT/MR angiography, in addition to admission/observation?
Can some patients referred for TIA/stroke symptoms who have at the time of ER referral, a normal neurological exam be discharged with outpatient workup?
Answer from: at Academic Institution
I would strongly recommend an overnight admission, during which CT/CTA, MRI (MRA only if CTA is not possible), cardiac monitoring overnight, A1C, and lipid assays can be obtained. I would only delay for an outpatient workup if the TIA occurred several days before the ED visit. I would also add that,...