For cases of classic and otherwise asymptomatic TGA, it is not necessary to transfer a patient to a hospital with neurology services. Neurologic consultation remains at the discretion of the evaluat-ing clinician and hospital protocols, though it may be desirable in prolonged cases or with high-risk patients (see Table 4). While most TGA syndromes resolve in < 10 hours, TGA patients should be observed until symptoms clear, which, in rare cases, can approach 24 hours.3 Observation can occur either in the inpatient setting or in an ED observation unit, if available. If symptoms do not resolve within 24 hours, differential diagnosis should be revisited and appropriate workup initiated.
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