”A mini-stroke is the medical term for transient ischemic attack (TIA), which is a limited cerebral dysfunction in the blood supply area of the brain caused by transient ischemia from various causes. Each attack lasts from a few tens of seconds to 20 minutes, and then resolves on its own within 24 hours, after which the clinical symptoms disappear without any sequelae. After the initial seizure, patients often experience recurrent seizures, some patients can have several or even dozens of seizures a day, and some have seizures once every few months. Some patients have several attacks a day or even dozens of attacks, and some have attacks once every few months. ”A mini-stroke is an extremely important precursor to stroke and the most important risk factor. Studies have shown that people who have had a mini-stroke are 16 times more likely to have a stroke than those who have not had a mini-stroke, and those who have frequent episodes can quietly develop into a complete cerebral infarction without realizing it. According to medical data, 1/3 of patients who have had such episodes without proper treatment have the possibility of developing complete cerebral infarction or cerebral hemorrhage within a few years; 1/3 have damaged brain function due to long-term recurrent episodes. Therefore, transient ischemic attack is now treated as a neurological emergency in clinical practice. There are many causes of transient ischemic attack “mini-stroke”, and it is generally believed that atherosclerosis of intracerebral and extracerebral arteries is the most common cause. The next causes are vascular stenosis, blood hypercoagulation, microembolism, microvascular spasm, high and low blood pressure, cardiac arrhythmia, subclavian artery steal syndrome, cervical spondylosis, diabetes mellitus and many others. The symptoms of transient ischemic attack are related to the site of ischemia, which is usually divided into the internal carotid artery system and the vertebrobasilar system. The symptoms of “mini-stroke” may vary from unfavorable movement of one limb, numbness, discomfort or even paralysis, to vertigo, vision loss, diplopia and ataxia, or unfavorable speech or complete inability to speak. Middle-aged and elderly people who suddenly appear the above symptoms and recover quickly should be highly alert, especially those who suffer from hypertension, atherosclerosis, diabetes, heart disease or cervical spine disease at the same time, should never take it lightly, otherwise when a complete stroke occurs, the best time for treatment will be lost, and may regret for the rest of their lives. Immediately go to the hospital neurology specialist for further examination. The more timely the consultation, the better the treatment effect, and the further development of symptoms leading to cerebral infarction or cerebral hemorrhage can be avoided. Transient cerebral ischemic attack mostly develops under the circumstances of position change, excessive activity, sudden rotation or flexion and extension of the neck. The clinical manifestations of the disease are characterized by sudden, recurrent, transient and stereotyped nature. In case of transient ischemic attack, absolute bed rest (horizontal position), maintain emotional stability, control and maintain blood pressure within the normal range, terminate and reduce transient ischemic attack, prevent or delay the onset of cerebral infarction or cerebral hemorrhage, and take the following preventive and curative measures: (1) Anti-platelet aggregation therapy: small doses of aspirin should be taken orally. The main purpose is to inhibit platelet aggregation and release, so that they cannot form micro thrombi. (2) anticoagulation therapy: If frequent treatment with other drugs is found to be ineffective, and there is no contraindication to bleeding disorders, anticoagulation therapy can be used, commonly used drugs for heparin, double coumarin, etc. (3) vasodilatation therapy: brain Yizine, Vibram, brain rejuvenation, etc. are effective in improving cerebral circulation. In addition to medication, we should actively strengthen physical exercise, keep a happy spirit, actively treat hypertension and arteriosclerosis, heart disease, diabetes and other causative factors, and also take vitamin C, vitamin E, compound salvia tablets or drops for a long time. (4) Climate change, especially cold, is a trigger for stroke, and middle-aged and elderly people have poor adaptability to the changing climate of the seasons, therefore, middle-aged and elderly people must be highly alert to the occurrence of stroke and other cerebrovascular diseases at this time. A mini-stroke is a danger signal of stroke and should be given high priority. (5) If intracranial artery stenosis is found by cerebral angiography and drug treatment is ineffective, surgery and interventional treatment can be considered.