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Treatment of MRI negative transient neurological events.
1.
Where in the world do you practice?
Europe
North America
Asia
Australasia
South America
2.
How many years have you been in clinical practice?
Still in training
0-1 years
2-5 years
5-9 years
10+ years
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)?
Several patients per week
At least one patient per week
One patient every second week
One patient every month
Rarely
4.
How often would you order a brain MRI for them?
All or nearly all patients
Half the patients depending upon clinical presentation
Uncommonly
Never
5.
At your centre, can you routinely obtain MR with DWI within 1 week of their event?
Yes
No
Sometimes
6.
At your centre, can you routinely obtain MR with DWI within 2 weeks of their event?
Yes
No
Sometimes
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?
DAPT for 3-4 weeks followed by single antiplatelet agent
Single antiplatelet agent
I would not treat with antiplatelets with a DWI-negative scan
I am uncertain
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?
DAPT for 3-4 weeks followed by single antiplatelet agent
Single antiplatelet agent
I would not treat with antiplatelets with a DWI-negative scan
I am uncertain
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?
Yes
No
Sometimes