Yes. A transient ischaemic attack is a warning that a stroke may follow, and the risk is highest in the days immediately afterwards. It needs same-day assessment even though the symptoms have completely resolved. Go to an emergency department rather than booking a clinic appointment, because the cause has to be found and prevention started inside that window.
Yes. A transient ischaemic attack is a warning that a stroke may follow, and the risk is highest in the days immediately afterwards. It needs same-day assessment even though the symptoms have completely resolved. Go to an emergency department rather than booking a clinic appointment, because the cause has to be found and prevention started inside that window.
The symptoms going away is exactly what leads people to wait, and it is the most consequential misunderstanding in this area. A transient ischaemic attack means a blood vessel was temporarily blocked; the underlying cause is still there. Stroke risk is at its highest in the first days afterwards, which is precisely the window in which people decide to see how things go. Urgent assessment exists to find the cause and start prevention inside that window.
It identifies the mechanism, and the mechanism determines the prevention. Atrial fibrillation needs anticoagulation; carotid narrowing may warrant a procedure; small-vessel disease needs antiplatelet treatment and tight blood pressure control. Those are different treatments and giving the wrong one leaves you exposed. Brain imaging also matters, because a proportion of clinically transient events show infarction, which reclassifies the diagnosis as a stroke.
Go to an emergency department, or call 911 if symptoms are present. Do not book a clinic appointment and do not wait for a call back. Say what happened, which side, how it started, how long it lasted and when it began, because onset timing matters. This practice provides outpatient neurology and no emergency service; secondary prevention and follow-up can continue here afterwards, but the initial assessment must be urgent.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: National Institute of Neurological Disorders and Stroke; MedlinePlus: carotid artery disease; American Academy of Neurology.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.