Treatment of MRI negative transient neurological events.

1.Where in the world do you practice?
2.How many years have you been in clinical practice?
3.In an average work week how often do you see patients who have had a TIA presentation (transient symptoms with resolution within 24-hours)?
4.How often would you order a brain MRI for them?
5.At your centre, can you routinely obtain MR with DWI within 1 week of their event?
6.At your centre, can you routinely obtain MR with DWI within 2 weeks of their event?
7.If they have a DWI-negative MR scan AND based upon your clinical evaluation, you thought the most probable diagnosis was true ischemia (ie. a true TIA), with no other indication for antithrombotics, would you treat long term (ie after the first few weeks) with antiplatelet agents?
8.If they have a DWI-negative MR scan AND based upon your clinical evaluation, you thought that there was at least a 50% chance that the diagnosis was a mimic (ie. there is diagnostic uncertainty), with no other indication for antithrombotics, would you treat long term (ie after the first few weeks) with antiplatelet agents?
9.Would you be willing to randomize a patient with a DWI negative MRI and transient neurological symptoms with no other indication for antithrombotics to long term single-antiplatelet agents vs. no antithrombotic agent?