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Inability to repeat a simple sentence (“The sky is blue”)
Sometimes, they can’t speak at all—or don’t realize their words are wrong
4. Vision Changes (The “+1”)
Sudden blurred, double, or lost vision in one or both eyes
May describe it as a “curtain coming down” over their eye
Often overlooked—but a classic TIA sign in seniors
5. Balance or Coordination Loss (The “+2”)
Sudden dizziness, stumbling, or loss of balance
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Not due to inner ear issues—this comes without warning
They may say, “I just felt like the room spun,” or “My legs gave out”
Crucial note: Symptoms may last as little as 2–5 minutes—but call 911 immediately, even if they’ve stopped.
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Why Seniors Are at Higher Risk
Atrial fibrillation (AFib): Common in older adults—causes blood clots that travel to the brain
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Carotid artery disease: Narrowed neck arteries reduce blood flow
High blood pressure, diabetes, or smoking history: Accelerate vascular damage
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Medication gaps: Missing blood pressure or blood thinner doses
Shocking stat: Nearly half of all TIAs occur in people over 75—yet many go unreported because symptoms are “gone by the time they reach the doctor.”
What to Do If You Suspect a Mini Stroke—Act Fast!
Call 911 immediately—do not drive them yourself.
Note the time symptoms started—this determines treatment options.
Do not give aspirin, food, or drink until evaluated.
Go to the ER—even if symptoms disappear. A TIA is a stroke in progress.
At the hospital, they’ll perform:
Brain imaging (MRI/CT)
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Carotid ultrasound
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Heart rhythm monitoring (for AFib)
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Blood tests
Early intervention can include blood thinners, stents, or surgery to prevent a major stroke.
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