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January 1, 1983QJM

Clinical Diagnosis of the Acute Stroke Syndrome

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Authors

CAChristopher AllenNottingham University Hospitals NHS Trust

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Implication

Randomized trial reports improved clinical diagnosis of acute stroke in young patients, indicating effectiveness of a scoring method.

Key Points

  • The aim is to develop a scoring system that enhances the clinical diagnosis of acute stroke in patients without CT access.
  • Prospective study of 192 patients under 76 years upon admission.
  • Comparison of clinical features of 174 patients with subsequent CT scan or autopsy diagnoses.
  • Assessment of eight clinical variables to derive the scoring system.
  • The scoring system improved diagnostic accuracy compared to physicians' assessments.
  • Lumbar puncture offered little added diagnostic accuracy in 72 patients.
  • Prolonged or discontinuous neurological deficits were more common in patients with mass lesions.

Cite This Study

Christopher Allen (1983) studied this question.

synapsesocial.com/papers/6a10f64539dd87f6d0eea29dhttps://doi.org/10.1093/oxfordjournals.qjmed.a067777
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CT Scan Versus Clinical Diagnosis in Stroke-A Comparative Retrospective Study on 257 Cases in one Year2024
  2. 2Computed Tomography Findings in Acute Stroke Patients: A Hospital-Based Cross-Sectional Study2024
  3. 3Computed Tomography Findings in Acute Stroke Patients in a Tertiary center2024
  4. 4The Value of Cross-Sectional Imaging in Evaluation of Stroke Patients2026
  5. 5Clinical diagnosis of stroke patients using SIRIRAJ stroke score and Computed Tomography2024