Quick Answer
The first 90 days after TIA determine prevention —— half of early strokes occur within 48 hours.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Stroke is an emergency loss of brain blood flow. FAST (Face droop, Arm weakness, Speech change, Time) demands immediate emergency care —— even transient deficits (TIA) carry 10——20% stroke risk within 90 days, half within 48 hours.
At Kathmandu Neurology Clinic, Dr. Jitendra Prasad Yadav (NMC 8029) provides post-discharge evaluation after hospital care: vascular imaging review, ECG/monitoring for atrial fibrillation, blood pressure/diabetes/cholesterol optimization, antithrombotic/statin secondary prevention per AHA/ASA and ESO guidance, and rehabilitation planning (physiotherapy, speech, mood and cognition screening).
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for stroke & tia.
Rehabilitation starts early, not after discharge. Mood, cognition and driving are screened at follow-up with the same consultant.
See /neurology-topics/stroke-tia-prevention, /conditions/stroke and /services/stroke-tia-evaluation. For sudden FAST signs, go to emergency immediately.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Note time of onset, call emergency services, do not give food/drink or leave the person alone.
TIA symptoms resolve, but it signals high short-term stroke risk. Urgent evaluation and prevention planning are essential.
No; essential tremor and other conditions also cause tremor and need evaluation.
No; some people present with slowness or stiffness without tremor. Specialist evaluation distinguishes Parkinson's from other causes.
FAST: Face droop, Arm weakness, Speech change, Time to emergency. TIA (transient deficit that resolves) is also an emergency — 10–20% have stroke within 90 days. At the clinic, secondary prevention (antiplatelet/anticoagulant, blood pressure, statin, diabetes control) and rehabilitation planning follow hospital dischar…
More: All FAQs → · Ask Dr. Jitendra →
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Stroke Prevention After TIA in Kathmandu: Secondary Prevention Guide
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References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.