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In traditionally defined transient ischemic attack (TIA), the neurological deficit lasts less than 24 hours. Some patients with time-defined TIAs have ischemic changes on magnetic resonance diffusion-weighted imaging (DWI); these patients have worse short-term prognoses than those with normal DWI studies.
The ABCD2 (Age, Blood pressure, Clinical features, Duration, Diabetes) score uses clinical information for short-term prediction of stroke risk in patients who experience TIAs. In this international multisite study, researchers examined whether DWI, added to ABCD2 scoring, predicts more accurately which patients with time-defined TIAs will have subsequent strokes — defined as new deficits lasting longer than 24 hours and occurring after res…