Quick Answer
Sudden face drop, arm weakness, speech loss —— time is brain.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Stroke is sudden loss of brain function from interrupted blood flow (ischemic —— clot —— most common; or hemorrhagic —— bleeding). TIA is transient (minutes to hours) but signals very high short-term stroke risk and needs same-day urgent care, even if symptoms resolve.
FAST: Face droop, Arm weakness, Speech difficulty, Time to call emergency. Additional: sudden vision loss, severe dizziness with imbalance, or thunderclap headache with neurologic change.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for stroke & tia.
What bystanders should do: note time when last seen well, call emergency immediately, do not give food/drink, do not drive yourself, bring medication list.
Prevention (not absolute): control blood pressure, diabetes, cholesterol, atrial fibrillation; stop smoking; stay active. At Kathmandu Neurology Clinic & Cognitive Center, Dr. Jitendra Prasad Yadav (NMC 8029) provides post-TIA/post-stroke prevention planning and follow-up —— emergency stroke care itself is hospital. See /stroke-doctor-kathmandu and /conditions/stroke.
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.
Not necessarily; a single unprovoked seizure needs careful assessment before a diagnosis of epilepsy is made.
No; seizures vary widely. Some involve jerking (generalized or focal), while others present as staring spells, automatisms, or behavioral change with no apparent movement.
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…
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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.