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Many patients dismissing mini-strokes as just 'funny turns'


Thousands of people are putting their lives at risk by dismissing mini-strokes as “a funny turn”, a charity has warned.

Only one in five people who experience symptoms of a transient ischaemic attack (TIA) call 999, according to the Stroke Association.

Over a third who have suffered a TIA thought it was just a “funny turn” and 47% did not believe their symptoms could be a medical emergency, the charity found.

In a new report, the charity said that if all TIAs were treated in time around 10,000 strokes could be prevented every year in the UK and more than 3,000 lives could be saved.

“It is vital that the public are more aware of the importance of recognising the symptoms of TIA”

Tony Rudd

Each year around 46,000 people in the UK suffer from a mini-stroke for the first time. One in 20 people will have a major stroke within two days of a mini-stroke and this figure rises to one in 12 within a week of a TIA.

The charity’s poll of 670 stroke survivors across the UK also found that a quarter of people who had sought medical help said their healthcare worker did not recognise they had suffered a TIA, and 23% were given no information or advice on what lifestyle changes they could make to prevent a stroke.

The charity said there needs to be better public awareness about mini-strokes. It said it is essential that health and social care workers can recognise the symptoms so patients can be referred quickly to a specialist.

They should also be able to provide better information, support and advice for patients so they can make lifestyle changes to reduce their chances of further TIAs or strokes.

Jon Barrick, chief executive of the Stroke Association, said: “The greatest risk of having a major stroke is within the first few days after a mini-stroke. However, for many people it doesn’t feel like an emergency because the symptoms are brief or mild.

“Too many mini-stroke patients delay calling 999 when their symptoms start and instead choose to book a GP appointment or visit their optician for advice because of their visual symptoms.

Stroke Association

Jon Barrick

“Urgently investigating and treating people who have a TIA or minor stroke could reduce their risk of having another stroke by 80%.

“Even though the symptoms may disappear, there might be damage to the brain.”

Professor Tony Rudd, chair of the Royal College of Physicians’ Intercollegiate Stroke Working Party, said: “It is vital that the public are more aware of the importance of recognising the symptoms of TIA and getting urgent attention.

“Although the symptoms are often very mild and brief they are important indicators that there may be a stroke on its way unless the right things are done to avert it.

“Services for TIA have improved radically over recent years and most hospitals are now running daily clinics. We just need to make sure that patients respond quickly and then the frontline professionals make the appropriate referral.”

“It is crucial that the public are made more aware of the signs of a mini-stroke however mild”

Clifford Mann

President of the College of Emergency Medicine, Clifford Mann, said: “Today’s report is vital to increasing awareness of TIA as a medical emergency and ensuring professionals continue to make swift referrals to enable timely investigation and treatment.

“It is crucial that the public are made more aware of the signs of a mini-stroke however mild. The ‘Not just a funny turn’ campaign and report will go a long way to highlighting the importance of people acting FAST (face, arms, speech, time) and calling 999 when their symptoms start and in doing so save lives.”

Symptoms of a TIA can include numbness or weakness on one side of the body, loss of vision or blurred vision in one or both eyes, memory loss, confusion or a sudden fall.


Readers' comments (3)

  • My mother had an actual small stroke which was dismissed by paramedics as a ' "mini-stroke" for which she did not need to go to hospital.' I forced her to see the GP as she had residual symptoms and the stroke was diagnosed. She has since dismissed symptoms twice because she "does not want to call out those nice ambulance people"
    It is not just the public missing things but professionals too which is even more crucial I think.

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  • Because so many dont have physical symptoms of a TiA they do not believe anything is wrong. The sad thing is a TIA increases the overall risk for stroke which means that these people should pay especially close attention modifiable risk factors in order to decrease risks for stroke. One thing the average population does not know is that 80 percent of strokes are preventable if they are aware of stroke risk factors.

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  • Stroke of insight - Jill Bolte Taylor

    Let's Begin…

    Brain researcher Jill Bolte Taylor studied her own stroke as it happened -- and has become a powerful voice for brain recovery.

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