Ischaemic stroke: predictive features

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

Ischaemic stroke: predictive features. Illness in the preceding week, No established onset-time. Fully referenced neurology checklist.

Features against ischaemic stroke

  • Illness in the preceding week
  • No established onset-time
  • History of cognitive impairment
  • Associated confusion
  • Loss of consciousness
  • Seizure at onset
  • No lateralizing or neurological signs
  • Ability to walk
  • Presence of systemic non-neurological signs
  • Low NIHSS score

Features predicting haemorrhagic stroke: the SCAN rule

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References

  1. Hand PJ, Kwan J, Lindley RI, Dennis MS, Wardlaw JM. Distinguishing between stroke and mimic at the bedside: the brain attack study. Stroke 2006; 37:769-775.
  2. Lovelock CE, Redgrave JN, Briley D, Rothwell PM. The SCAN rule: a clinical rule to reduce CT misdiagnosis of intracerebral haemorrhage in minor stroke. JNNP 2010; 81:271-275.

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