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Early treatment of ‘mini-strokes’ can cut risk of serious attack, study jointly led by Hong Kong researchers shows

While transient ischemic attacks are milder than strokes, they could be followed by more severe symptoms

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Chinese University neurology division head Professor Lawrence Wong Ka-sing (left) and chief of stroke service Dr Yannie Soo Oi-yan (right) with mini-stroke patient Chan Lee-hing. Photo: Elizabeth Cheung

Treating a “mini-stroke” within 24 hours after symptoms occur could reduce the chance of a serious stroke by up to 70 per cent, revealed a study – the largest of its kind – jointly led by Chinese University researchers.

Mini-strokes, also known as transient ischemic attacks, is caused by a temporary blockage of blood vessels in the brain. While they share symptoms of a stroke such as limb numbness, facial weakness or speech disturbance, these last for only a few minutes to several hours.

“Fewer people pay attention to a mini-stroke as it is milder, and the symptoms disperse after a short while. But it could be a sign of a more severe stroke,” said Professor Lawrence Wong Ka-sing, head of the university’s neurology division.

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In a global study involving 4,789 mini-stroke patients from 61 centres in 21 countries and regions, including 139 patients diagnosed at the Prince of Wales Hospital through inpatient admission, the rate at which patients developed a stroke within seven days was 2.1 per cent, rising to 3.7 per cent for within 90 days.

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This was lower than the conventionally known figures of 5 to 12 per cent collected from previous studies.

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