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Ischemic Stroke l: Introduction

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Related Experiment Video

Updated: Jun 24, 2026

A Magnetic Resonance Imaging Protocol for Stroke Onset Time Estimation in Permanent Cerebral Ischemia

A Magnetic Resonance Imaging Protocol for Stroke Onset Time Estimation in Permanent Cerebral Ischemia

Published on: September 16, 2017

Transient speech impairment: a minor stroke/TIA case escaping conventional imaging methods.

Sheharyar H Khan¹, Mustafa Aljanabi²

¹Hospital-out-of-hours, University Hospital of Derby and Burton NHS Foundation Trust, Derby DE22 3LY, United Kingdom.

Oxford Medical Case Reports

|October 17, 2024

Summary

Transient ischemic attacks (TIAs) can present with unusual symptoms like isolated speech issues. Early recognition of these transient cerebrovascular events is crucial for timely management.

Keywords:

Broca’s aphasia expressive aphasia minor stroke transient ischaemic attack

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Area of Science:

Neurology
Neuroscience
Internal Medicine

Background:

Transient ischemic attacks (TIAs) and minor strokes often present with atypical symptoms, posing diagnostic challenges.
Broca's aphasia, typically associated with stroke, can be mimicked by transient speech impairments.

Observation:

A 62-year-old male presented with isolated speech difficulties resembling Broca's aphasia.
Initial imaging was inconclusive, but subsequent evaluation revealed periventricular changes and a lacunar infarct.

Findings:

Symptoms resolved within 10 days, indicating a transient ischemic event.
The case highlights the diagnostic difficulties in recognizing nuanced presentations of cerebrovascular events.

Implications:

Standardized diagnostic criteria and assessment tools are needed for transient speech impairments.
Further research using advanced imaging like diffusion-weighted MRI (DWI) is warranted for early recognition and management.