BACKGROUND AND PURPOSE Quantification of stroke severity through telemedicine consultation is challenging and relies on professional support at the patient's bedside. We aimed to develop a novel scale for assessing stroke severity through telemedicine without assistance from a third party (Unassisted TeleStroke Scale [UTSS]). METHODS Stroke severity was assessed in 45 patients with suspicion ...

BACKGROUND AND PURPOSE The National Institutes of Health Stroke Scale (NIHSS) is commonly used to measure neurologic function and guide treatment after spontaneous intracerebral hemorrhage (ICH) in routine stroke clinics. We evaluated its reliability and sensitivity to detect change with consecutive and unique rater combinations in a real-world setting. METHODS Conservative measures of interr...

To investigate the contribution of the interleukin-6 receptor (IL-6R) gene single nucleotide polymorphisms (SNPs) to the neurological status of Korean patients with ischemic stroke (IS), two SNPs of the IL-6R gene (rs4845617, 5 UTR; rs2228144, Ala31Ala) were selected. IS patients were classified into clinical phenotypes according to two well-defined scores: the National Institutes of Health Str...

T he beneficial effects of endovascular treatment (EVT) in addition to intravenous thrombolysis have been proven in patients with acute ischemic stroke caused by large anterior vessel occlusion (LAVO). rapid recognition of potentially eligible patients for such treatment is critical, both in the prehos-pital and in the early in-hospital triage stage. Because EVT and complex diagnostic imaging r...

BACKGROUND To assess the predictive value of prognosis of different computed tomography (CT) features and National Institutes of Health Stroke Scale score (NIHSS) in acute extensive middle cerebral artery (MCA) infarct. METHODS Fifty five patients with acute extensive MCA infarct had the CT performed within 24 hours of the onset of symptoms. A total of 11 CT features were analysed. The age di...

OBJECTIVES The purpose of the present study was to evaluate the association between the red blood cell distribution width (RDW) and the Glasgow Coma Scale (GCS), Canadian Neurological Scale (CNS), and National Institutes of Health Stroke Scale (NIHSS) scores in patients who had acute ischemic stroke. METHODS This prospective observational cohort study included 88 patients who have had acute i...

This study assessed the positive and negative predictive values and the sensitivity and specificity of a nursing dysphagia screening tool and the National Institutes of Health Stroke Scale (NIHSS) for the identification of dysphagia for veterans hospitalized with ischemic stroke.A secondary objective of this study was to evaluate the speech-language pathology consult rate before and after the n...

BACKGROUND AND PURPOSE A clinical-diffusion mismatch (CDM) among stroke patients presenting within 12-24 hours has been correlated with neurologic deterioration and infarct expansion. We sought to study the feasibility and safety of reperfusion therapy in a series of 11 consecutive patients fulfilling this criterion. MATERIALS AND METHODS Patients presenting with large vessel syndromes were c...

BACKGROUND AND PURPOSE The relationship between location of occlusion and clinical outcome is poorly understood in patients receiving intravenous tissue-type plasminogen activator (IV tPA). We postulated that acute stroke patients receiving IV tPA with patent vasculature or occult arterial occlusion by CT angiography (CTA) would have better outcomes and decreased hemorrhagic risk. METHODS We ...

Initial stroke severity is a primary determinant of clinical outcome among subjects with acute ischemic stroke. Several measures of stroke severity have been developed and include the National Institutes of Health Stroke Scale (NIHSS) scale, the Canadian Neurological Scale, Scandinavian Stroke Scale, and the European Stroke Scale among others. Although baseline measures of stroke severity are a...