
How to spot a mini-stroke: early signs and symptoms
Peer reviewed by Dr Jim Forrer, MRCGPAuthored by Victoria RawOriginally published 5 Mar 2025
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Although a mini-stroke isn't a full stroke, the symptoms are very similar. With a mini-stroke these symptoms go away completely within 24 hours. However, it is still an important warning sign your chance of having a major stroke in the future has increased. It can be a signal that you're about to have a full stroke, so you should take immediate action.
Spotting the signs of a mini-stroke is crucial for getting medical help and advice. This can significantly reduce your likelihood of future episodes and the chance of a more serious stroke.
What is a mini-stroke?
Natalie Mackenzie, a brain injury expert and Cognitive Rehabilitation Therapist based in London, UK, explains that a mini-stroke typically lasts a short period - ranging from a few minutes to a few hours - before resolving on its own. However, she warns that a mini-stroke is a significant warning sign for a potential stroke.
She advises not to dismiss these symptoms - even if they stop quickly. Seek medical attention right away to confirm your diagnosis and ensure you get the right treatment to reduce your chance of future strokes.
What does a mini-stroke feel like?
Mini-stroke symptoms closely resemble those of a full stroke.
Mackenzie explains the most common symptoms include weakness and numbness, especially on one side of the body.
"Other symptoms can include problems with speech - both understanding and speaking, issues with vision, balance, or dizziness," she says. "The sudden headaches associated with stroke are less common in TIA and stroke symptoms last for more than 24 hours."
Mackenzie adds that - as with any illness - symptoms will often vary from person to person. You also don't have to have every single symptom on the list to warrant getting checked out by a doctor.
What are the warning signs of a mini-stroke?
While the symptoms of a stroke and a mini-stroke can overlap - and a stroke is undoubtedly more severe - both conditions require immediate medical attention. Recognising the signs of a mini-stroke is crucial for preventing a more serious event.
The most common symptoms of a mini-stroke include:
Weakness or numbness - this typically affects one side of your body and might make it difficult to lift and hold both arms up.
Facial drooping - one side of your face may droop, most noticeably around your eye and the corner of your mouth, which may mean you're unable to smile.
Speech issues - speech may become difficult, incoherent or slurred. In some cases, you may be unable to speak at all.
Mackenzie adds you may feel dizzy, lose your balance, and notice changes to your vision, Headaches are usually less common with mini-strokes, however there is still a likelihood you may get them.
"The key difference between mini-stroke and regular stroke is the length of symptoms," she says. "TIA symptoms are milder, do not worsen over time, and should resolve between minutes or hours. Stroke symptoms, however, will persist, and may cause permanent damage."
Can mini-strokes be prevented?
Several factors can increase your chance of having a mini-stroke - many of which are similar to those that raise your likelihood of a full stroke.
According to Mackenzie, several health conditions can contribute to developing a mini-stroke:
High blood pressure.
Diabetes.
High cholesterol.
Overweight and obesity.
"People with artery diseases or heart rhythm disorders can also be more susceptible," she says. "Smoking, excessive alcohol consumption, poor diet and inactivity increase your chance of mini-strokes - as does a family history of TIA and strokes."
She adds that if you've previously had a mini-stroke or stroke, this can further raise your chances of having another one.
Adopting healthy lifestyle habits in your daily routine is a simple way to help reduce your likelihood of having a stroke or mini-stroke.
Mackenzie explains these can include:
Maintaining good levels of exercise.
Managing stress.
These improvements can help lower blood pressure and cholesterol levels while supporting a healthy weight.
Mackenzie says that some people could be prescribed medicine to help prevent stroke - especially those who have a higher susceptibility.
Depending on your circumstances, you may need a type of surgery called carotid endarterectomy, which unblocks your carotid arteries - the main vessels that bring blood to your brain. Sometimes fatty deposits in the carotid arteries are a place where clots can form and then cause a stroke. After a TIA this surgery can dramatically reduce the risk of having another TIA or a stroke.
Mackenzie advises: "If you think you or someone you know is having a TIA, seek medical attention immediately. Do not wait for the symptoms to subside."
She recommends you monitor your symptoms closely whilst waiting for emergency services, and under no circumstances should you drive yourself to the hospital.
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by Victoria Raw
About the authorView full bio

Victoria Raw
Feature Writer
BA (Hons), English Literature
Victoria is a content writer at Patient, with special interests spanning mental wellbeing, societal trends and the impact of technology on our health.
About the reviewerView full bio
Dr Jim Forrer, MRCGP
Director of Clinical Product, Optum UK
MRCGP
Dr Jim Forrer is an NHS GP with extensive experience in various facets of healthcare.
Article history
The information on this page is peer reviewed by qualified clinicians.
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
Next review due: 6 Mar 2028
5 Mar 2025 | Originally published
Authored by:
Victoria RawPeer reviewed by
Dr Jim Forrer, MRCGP
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