Martí Vilalta J L, López Pousa S, Grau J M, Barraquer L
Med Clin (Barc). 1979 Apr 25;72(8):316-20.
Transitory ischemic accident is an episode that commences abruptly with subjective or objective neurological disturbances, persists for a brief time, and returns to normal within 24 hours of onset with complete recuperation of neurological function. Using this as a basic definition, the authors specify the characteristic symptoms of different types of transitory ischemic accident and review in retrospect 150 cases of ischemic infarction in the region of the median cerebral artery. Thirty-eight percent of the patients suffered transitory ischemic accidents prior to stroke. The symptoms included the following, in order of frequency: motor nerve disorder, sensory nerve disorders, speech disturbances, and visual defects. Most of these patients presented a definite stroke within less than one month's time following the last transitory ischemic accident. The similarity of the symptoms in both conditions was noticeable. The authors study the angiographic images, the pharmacologic and toxic previous histories, and other associated diseases in each patient. They point out, lastly, that transitory ischemic accident should be considered the first manifestation of a cerebrovascular disease and not just as an isolate, reversible episode of little importance.
短暂性缺血发作是一种起病突然，伴有主观或客观神经功能障碍，持续短暂时间，并在发病24小时内恢复正常且神经功能完全恢复的发作。作者以这一定义为基础，明确了不同类型短暂性缺血发作的特征性症状，并回顾了150例大脑中动脉区域缺血性梗死病例。38%的患者在中风前曾发生短暂性缺血发作。症状按出现频率依次为：运动神经障碍、感觉神经障碍、言语障碍和视觉缺陷。这些患者中的大多数在最后一次短暂性缺血发作后的不到一个月内出现了明确的中风。两种情况症状的相似性很明显。作者研究了每位患者的血管造影图像、既往用药史和中毒史以及其他相关疾病。最后，他们指出，短暂性缺血发作应被视为脑血管疾病的首发表现，而不仅仅是一个孤立的、无足轻重的可逆发作。
