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Public awareness of the symptoms of stroke has increased the frequency of emergency department visits by patients with this complex chief complaint. Often, subtle symptoms may — or may not — represent a cerebral infarct. This issue of ED Legal Letter will review the diagnosis, management, and follow-up of patients with both transient ischemic attack and cerebral vascular accidents. Appropriate diagnosis and treatment will prevent subsequent permanent disability and potential litigation.

TPA in ischemic stroke: Diagnosis is one thing, but timing is everything