Stroke Literature Synopses: Clinical Science
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In acute stroke, we are lucky to have a number of efficacious treatments supported by a robust evidence base. However, before we think about treatment, we first need to make the diagnosis of stroke and make some estimate of likely outcome. This is not always straightforward, and much of the skill, challenge, and reward of stroke medicine comes from the diagnostic and prognostic decision making required for each patient. For this month’s Literature Synopsis, I have selected articles that are themed around diagnosis and prognosis. This is an area of stroke where I feel we need more research and I hope to see, and discuss, more articles on these themes in future Synopses.
I consider myself an evidence-based practitioner, but there will always be areas of practice where we have limited research to guide decision making. In this context, it is reassuring to see results that confirm something I had, based on experience, always assumed to be the case. Most stroke physicians will recognize that patients who have made recovery from a previous disabling stroke can appear to show a …