Clinical Scales Do Not Reliably Identify Acute Ischemic Stroke Patients With Large-Artery Occlusion [Clinical Sciences]

Conclusions— Using published cutoffs for triage would result in a loss of opportunity for ≥20% of patients with large-artery occlusion who would be inappropriately sent to a center lacking neurointerventional facilities. Conversely, using cutoffs reducing the false-negative rate to 10% would result in sending almost every patient to a comprehensive stroke center. Our findings, therefore, suggest that intracranial arterial imaging should be performed in all patients with acute ischemic stroke presenting within 6 hours of symptom onset.

http://stroke.ahajournals.org/cgi/content/short/47/6/1466?rss=1

Source: Stroke - May 22, 2016 Category: Neurology Authors: Turc, G., Maier, B., Naggara, O., Seners, P., Isabel, C., Tisserand, M., Raynouard, I., Edjlali, M., Calvet, D., Baron, J.-C., Mas, J.-L., Oppenheim, C. Tags: Magnetic Resonance Imaging (MRI), Revascularization, Cerebrovascular Disease/Stroke, Ischemic Stroke Clinical Sciences Source Type: research