Stroke and TIA Follow-Up Care

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Comprehensive Neurology Follow-Up After Stroke, TIA, or Stroke-Like Symptoms

A stroke or transient ischemic attack, often called a TIA or mini-stroke, can be life-changing. Even after the emergency phase, patients often need neurological follow-up to understand what happened, reduce future risk, review medications, monitor recovery, and address lingering symptoms.

VerityMD Neurology provides structured outpatient follow-up after stroke, TIA, or stroke-like episodes with a focus on secondary prevention, recovery planning, and coordinated care.

Symptoms We Evaluate

  • Recent stroke or TIA

  • Weakness or numbness on one side

  • Facial droop or speech difficulty

  • Vision loss or double vision

  • Balance problems, dizziness, or walking difficulty after stroke

  • Memory or cognitive changes after stroke

  • Headache or seizure after stroke

  • Spasticity or stiffness after stroke

  • Concerns about recurrent stroke risk

Conditions We Help Evaluate or Manage

  • Ischemic stroke

  • Transient ischemic attack

  • Lacunar stroke

  • Embolic or cryptogenic stroke

  • Large vessel disease

  • Carotid or intracranial stenosis

  • Atrial fibrillation-related stroke risk

  • Small vessel disease

  • Post-stroke seizure, dizziness, cognitive symptoms, spasticity, or pain

Services and How They Help

Neurology Consultation After Stroke or TIA

The visit includes review of hospital records, imaging, vascular studies, heart testing, labs, medications, symptoms, and recovery.

How this helps:

  • Clarifies diagnosis and stroke mechanism

  • Reviews risk factors

  • Creates a secondary prevention and follow-up plan

Stroke Cause and Risk Factor Review

Stroke risk factors may include artery disease, atrial fibrillation, small vessel disease, blood pressure, cholesterol, diabetes, sleep apnea, smoking, or other medical issues.

How this helps:

  • Identifies modifiable risks

  • Determines whether additional cardiac or vascular testing may be appropriate

  • Supports coordination with other clinicians

Medication Review for Stroke Prevention

Medication review may include antiplatelets, anticoagulants, statins, blood pressure medications, diabetes medications, interactions, bleeding risk, and adherence.

How this helps:

  • Clarifies why each medication is used

  • Reviews side effects and safety

  • Supports prevention plan adherence

Post-Stroke Cognitive, Seizure, Dizziness, and Gait Evaluation

Stroke can lead to cognitive changes, seizures, dizziness, imbalance, falls, weakness, or spasticity.

How this helps:

  • Identifies complications that need treatment

  • Guides EEG, cognitive testing, EMG/NCV, autonomic testing, or therapy when appropriate

  • Supports recovery and safety planning

Chronic Care Management for Stroke Recovery and Vascular Risk

Eligible patients may receive ongoing support for recovery symptoms, medication coordination, risk-factor goals, therapy follow-through, and caregiver concerns.

How this helps:

  • Supports blood pressure, cholesterol, diabetes, medication adherence, and fall-risk goals

  • Improves communication between neurology, primary care, caregivers, cardiology, and therapists

  • Identifies concerns before they become urgent

When Stroke & TIA Follow-Up May Be Helpful

  • Recent hospital or ER visit for stroke or TIA

  • Stroke-like symptoms that resolved

  • Medication questions after stroke

  • Ongoing dizziness, falls, walking difficulty, memory changes, or seizures after stroke

  • Need for imaging or vascular records review

  • Concern about recurrent stroke risk

What to Bring or Have the Referring Office Send

  • Referral from PCP, specialist, or referring provider

  • Medication list, including over-the-counter medications and supplements

  • Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available

  • Hospital discharge summary

  • Brain MRI/CT and CTA/MRA/carotid ultrasound reports

  • Echocardiogram or heart monitor results if available

  • Recent cholesterol and diabetes labs

  • Blood pressure log if available

    Therapy notes if available

Important Note

This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.

Emergency Symptoms

Call 911 or go to the nearest emergency department for:

  • Sudden weakness, facial droop, trouble speaking, or new vision loss

  • Severe sudden headache or rapidly worsening neurological symptoms

  • Loss of consciousness, seizure, chest pain, or severe shortness of breath

  • New inability to walk or sudden severe dizziness with stroke-like symptoms

New Patient Referrals

VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.

Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.

We accept the following insurance

Client Stories

What Our Patients Say

★ ★ ★ ★ ★

My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.

Debby S
Debby S
★ ★ ★ ★ ★

Dr. Manoj Mittal thoroughly understands the complexities of my condition (involving my brain, neck, and nerves) and developed a comprehensive action plan. During my follow-up visit, he carefully assessed my progress to ensure I was staying on track. I had been neglecting a few aspects of my treatment, but he guided me back on course. My treatment involves a team of specialists, multiple surgeries, and personal effort, and I’m truly satisfied with the plan. For the first time in nearly a decade, I feel genuinely hopeful. Thank you, Dr. Manoj Mittal. A+

David A
David A
★ ★ ★ ★ ★

I was concerned about issues and I called their office. My appointment was not until January and after hearing my concerns, the staff had me scheduled on a Monday, which happens to be two days from when I called voicing my concerns. Nice job.

Bernie L
Bernie L
★ ★ ★ ★ ★

Dr. Manoj Mittal is an excellent neurologist. He listens carefully, explains everything clearly, and truly cares about his patients. My mom is under his care, and we are very grateful for his expertise and compassion. Highly recommend!

Zubaida R
Zubaida R
★ ★ ★ ★ ★

Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.

Melinda M
Melinda M
★ ★ ★ ★ ★

My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.

Kriss H
Kriss H