The Canadian Neurological Scale: a preliminary study in acute stroke

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Stroke. 1986;17:731-737

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ARTICLES

The Canadian Neurological Scale: a preliminary study in acute stroke

R Cote, VC Hachinski, BL Shurvell, JW Norris and C Wolfson

Acute central nervous system dysfunction resulting in coma can be measured simply and reliably by the Glasgow scale. However, when the injury does not impair consciousness and the patient has aphasia, no comparable scale exists. A complementary scale to assess conscious and aphasic patients is proposed. Preliminary validation has been carried out in acute stroke patients, who commonly suffer neurological deficits without loss of consciousness. A simple standardized scale aids in the monitoring of neurological status, and may help in the assessment of prognosis and therapy.

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				F. D. Rubens, M. Boodhwani, and H. Nathan Interpreting studies of cognitive function following cardiac surgery: a guide for surgical teams. Perfusion, May 1, 2007; 22(3): 185 - 192. [Abstract] [PDF]

				S. Laowattana and S. M. Oppenheimer Protective effects of beta-blockers in cerebrovascular disease Neurology, February 13, 2007; 68(7): 509 - 514. [Abstract] [Full Text] [PDF]

				L. B. Goldstein and D. L. Simel Is This Patient Having a Stroke? JAMA, May 18, 2005; 293(19): 2391 - 2402. [Abstract] [Full Text] [PDF]

				O. Parra, A. Arboix, J.M. Montserrat, L. Quinto, S. Bechich, and L. Garcia-Eroles Sleep-related breathing disorders: impact on mortality of cerebrovascular disease Eur. Respir. J., August 1, 2004; 24(2): 267 - 272. [Abstract] [Full Text] [PDF]

				J. Castillo, R. Leira, M. M. Garcia, J. Serena, M. Blanco, and A. Davalos Blood Pressure Decrease During the Acute Phase of Ischemic Stroke Is Associated With Brain Injury and Poor Stroke Outcome Stroke, February 1, 2004; 35(2): 520 - 526. [Abstract] [Full Text] [PDF]

				D.J. Anderson, L.B. Goldstein, W.E. Wilkinson, G.R. Corey, C.H. Cabell, L.L. Sanders, and D.J. Sexton Stroke location, characterization, severity, and outcome in mitral vs aortic valve endocarditis Neurology, November 25, 2003; 61(10): 1341 - 1346. [Abstract] [Full Text] [PDF]

				P. Cicinelli, P. Pasqualetti, M. Zaccagnini, R. Traversa, M. Oliveri, and P. M. Rossini Interhemispheric Asymmetries of Motor Cortex Excitability in the Postacute Stroke Stage: A Paired-Pulse Transcranial Magnetic Stimulation Study Stroke, November 1, 2003; 34(11): 2653 - 2658. [Abstract] [Full Text] [PDF]

				N. Vila, J. Castillo, A. Davalos, A. Esteve, A. M. Planas, and A. Chamorro Levels of Anti-Inflammatory Cytokines and Neurological Worsening in Acute Ischemic Stroke Stroke, March 1, 2003; 34(3): 671 - 675. [Abstract] [Full Text] [PDF]

				S. E. Kasner, B. L. Cucchiara, M. L. McGarvey, J. M. Luciano, D. S. Liebeskind, and J. A. Chalela Modified National Institutes of Health Stroke Scale Can Be Estimated From Medical Records Stroke, February 1, 2003; 34(2): 568 - 570. [Abstract] [Full Text] [PDF]

				J M Wardlaw, S L Keir, and M S Dennis The impact of delays in computed tomography of the brain on the accuracy of diagnosis and subsequent management in patients with minor stroke J. Neurol. Neurosurg. Psychiatry, January 1, 2003; 74(1): 77 - 81. [Abstract] [Full Text] [PDF]

				D. Schlegel;, S. J. Kolb, J. M. Luciano, J. M. Tovar, B. L. Cucchiara, D. S. Liebeskind, and S. E. Kasner Utility of the NIH Stroke Scale as a Predictor of Hospital Disposition Stroke, January 1, 2003; 34(1): 134 - 137. [Abstract] [Full Text] [PDF]

				J.M. Wardlaw, S.L. Keir, M.E. Bastin, P.A. Armitage, and A.K. Rana Is diffusion imaging appearance an independent predictor of outcome after ischemic stroke? Neurology, November 12, 2002; 59(9): 1381 - 1387. [Abstract] [Full Text] [PDF]

				I. Casetta, E. Granieri, E. Fallica, O. la Cecilia, E. Paolino, and R. Manfredini Patient Demographic and Clinical Features and Circadian Variation in Onset of Ischemic Stroke Arch Neurol, January 1, 2002; 59(1): 48 - 53. [Abstract] [Full Text] [PDF]

				G. Boysen and H. Christensen Early Stroke: A Dynamic Process Stroke, October 1, 2001; 32(10): 2423 - 2425. [Full Text] [PDF]

				F. Gotoh, Y. Terayama, and T. Amano Development of a Novel, Weighted, Quantifiable Stroke Scale: Japan Stroke Scale Stroke, August 1, 2001; 32(8): 1800 - 1807. [Abstract] [Full Text] [PDF]

				V Kumar, J Kalita, R B Gujral, V P Sharma, and U K Misra A study of bone densitometry in patients with complex regional pain syndrome after stroke Postgrad. Med. J., August 1, 2001; 77(910): 519 - 522. [Abstract] [Full Text] [PDF]

				M. Di Napoli, F. Papa, and V. Bocola Prognostic Influence of Increased C-Reactive Protein and Fibrinogen Levels in Ischemic Stroke Stroke, January 1, 2001; 32(1): 133 - 138. [Abstract] [Full Text]

				F E Roux, K Boulanouar, D Ibarrola, M Tremoulet, F Chollet, and I Berry Functional MRI and intraoperative brain mapping to evaluate brain plasticity in patients with brain tumours and hemiparesis J. Neurol. Neurosurg. Psychiatry, October 1, 2000; 69(4): 453 - 463. [Abstract] [Full Text] [PDF]

				N. Vila, J. Castillo, A. Davalos, and A. Chamorro Proinflammatory Cytokines and Early Neurological Worsening in Ischemic Stroke Stroke, October 1, 2000; 31(10): 2325 - 2329. [Abstract] [Full Text] [PDF]

				N. E. Mayo, S. Wood-Dauphinee, R. Cote, D. Gayton, J. Carlton, J. Buttery, and R. Tamblyn There's No Place Like Home : An Evaluation of Early Supported Discharge for Stroke Stroke, May 1, 2000; 31(5): 1016 - 1023. [Abstract] [Full Text] [PDF]

				A. Davalos, J. Castillo, J. Marrugat, J. M. Fernandez-Real, A. Armengou, P. Cacabelos, and R. Rama Body iron stores and early neurologic deterioration in acute cerebral infarction Neurology, April 25, 2000; 54(8): 1568 - 1574. [Abstract] [Full Text] [PDF]

				P. Remy, M. Zilbovicius, P. Cesaro, P. Amarenco, J.-D. Degos, and Y. Samson Primary Somatosensory Cortex Activation Is Not Altered in Patients With Ventroposterior Thalamic Lesions : A PET Study Stroke, December 1, 1999; 30(12): 2651 - 2658. [Abstract] [Full Text] [PDF]

				C. Vang, D. Dunbabin, and D. Kilpatrick Effects of Spontaneous Recanalization on Functional and Electrophysiological Recovery in Acute Ischemic Stroke Stroke, October 1, 1999; 30(10): 2119 - 2125. [Abstract] [Full Text] [PDF]

				A. G. Dyker and K. R. Lees Remacemide Hydrochloride : A Double-Blind, Placebo-Controlled, Safety and Tolerability Study in Patients With Acute Ischemic Stroke Stroke, September 1, 1999; 30(9): 1796 - 1801. [Abstract] [Full Text] [PDF]

				M. Weih, K. Kallenberg, A. Bergk, U. Dirnagl, L. Harms, K. D. Wernecke, and K. M. Einhaupl Attenuated Stroke Severity After Prodromal TIA : A Role for Ischemic Tolerance in the Brain? Stroke, September 1, 1999; 30(9): 1851 - 1854. [Abstract] [Full Text] [PDF]

				C. Bugge, H. Alexander, and S. Hagen Stroke Patients' Informal Caregivers : Patient, Caregiver, and Service Factors That Affect Caregiver Strain Stroke, August 1, 1999; 30(8): 1517 - 1523. [Abstract] [Full Text] [PDF]

				S.-M. Lai, P. W. Duncan, and J. Keighley Prediction of Functional Outcome After Stroke : Comparison of the Orpington Prognostic Scale and the NIH Stroke Scale Stroke, September 1, 1998; 29(9): 1838 - 1842. [Abstract] [Full Text] [PDF]

				J. V. Escudero, J. Sancho, D. Bautista, M. Escudero, and J. Lopez-Trigo Prognostic Value of Motor Evoked Potential Obtained by Transcranial Magnetic Brain Stimulation in Motor Function Recovery in Patients With Acute Ischemic Stroke Stroke, September 1, 1998; 29(9): 1854 - 1859. [Abstract] [Full Text] [PDF]

				D. Toni, M. Fiorelli, E. M. Zanette, M. L. Sacchetti, A. Salerno, C. Argentino, M. Solaro, and C. Fieschi Early Spontaneous Improvement and Deterioration of Ischemic Stroke Patients : A Serial Study With Transcranial Doppler Ultrasonography Stroke, June 1, 1998; 29(6): 1144 - 1148. [Abstract] [Full Text] [PDF]