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The following three pages contain an outline of the components of the five-minute neurological examination, followed by a suggested order for performing this examination. I have also included a detailed handout describing the components of a comprehensive neurological examination, as well as the significance of abnormal findings.
When the patient should be seen by the healthcare professional team: As soon as possible, ideally within 24 hours. Where patients should be seen: Stroke Prevention Clinic with Neurologist, Stroke Specialist, Nurse Practitioner. Initial assessment tests: CT/CTA or MRI/MRA (aortic arch to vertex), ECG, Lab work.
F.A.S.T. is an easy way to remember the sudden signs of a stroke. FACE DROOPING. ARM WEAKNESS. SPEECH DIFFICULTY. TIME TO CALL 911. Face Drooping. Does one side of the face droop or is it numb?
A TIA, sometimes called a "mini stroke," occurs when a blood clot blocks an artery for a short time. The symptoms are similar to those of an ischemic stroke, but they usually last only a few minutes. TIAs are strong predictors of future strokes. Roughly 33% of patients with a TIA will have a stroke in the future.
A CT or “CAT” scan is usually one of the first tests used to diagnose stroke. What are the types of diagnostic tests? Diagnostic tests examine how the brain looks, works and gets its blood supply. Most are safe and painless. These tests fall into two categories: 1) imaging tests and 2) blood flow tests. IMAGING TESTS.
• mRShas been used to measure stroke outcomes and functional impact post-stroke • The scale is used a “core metric” of Comprehensive Stroke Centers; evaluating 90-day clinical outcomes of post-IV tPA (Alteplase) or endovascular intervention (EVT) patients • A mRSscore appears to show moderate correlation with the
After an ischemic stroke, measures will be taken to make sure your vital signs are stable. Your care team will closely assess your neurologic status throughout your stay. This includes tests of your strength, language, understanding, sensation and reflexes.
