Ischaemic stroke: poor prognostic features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Ischaemic stroke: poor prognostic features. Absence of headache at stroke onset. Fully referenced neurology checklist.

Clinical

  • Absence of headache at stroke onset
  • Monolingualism: bilingualism predicts better cognitive outcomes
  • Absence of spontaneous crossed legged sitting within 15 days
  • Low body mass index (BMI)

Right hemisphere stroke

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Electrolyte imbalance

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Renal impairment

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Radiological factors

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Blood indices

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Good prognostic factors

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References

  1. Halkes PHA, Kappelle J, van Gijn J, van Wijk I, Koudstaal PJ, Algra A. Large subcortical infarcts: clinical features, risk factors, and long-term prognosis compared with cortical and small deep infarcts. Stroke 2006; 37:1828-1832.
  2. Alladi S, Bak TH, Mekala S, et al. Impact of bilingualism on cognitive outcome after stroke. Stroke 2016; 47:258-261.
  3. Rémi J, Pfefferkorn T, Owens RL, et al. The crossed leg sign indicates a favorable outcome after severe stroke. Neurology 2011; 77:1453-1456.
  4. Qin J, Zhang T, Chen Y, et al. The effect of body mass index on stroke prognosis: a systematic review and meta-analysis of 32 cohort studies with 330,353 patients. Int J Stroke 2024; 19:1093-1101.
  5. Callaly E, Ni Chroinin D, Hannon N, et al. Rates, predictors, and outcomes of early and late recurrence after stroke. The north Dublin Population Stroke Study. Stroke 2016; 47:244-246. 
  6. And 18 more. Subscribe to see the full list

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