Topics:
Neurology • Vascular Neurology
Do you typically recommend inpatient stroke evaluation for patients with incidentally found asymptomatic stroke on outpatient imaging?
For patients undergoing outpatient MR imaging for other indications who have instantly found acute stroke, do you typically recommend the patient be admitted to the hospital and undergo a complete stroke evaluation even if the finding is silent? Or would you typically work this up as an outpatient?
Answer from: at Community Practice
This of course depends on so many variables, some scenarios and questions that matter in making the decision:
Why was the imaging done in the first place? Not relevant to stroke or imaging was done because of TIA?
What were the initial symptoms? Are you suspecting a large vessel occlusion (shock...
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Answer from: at Academic Institution
No, I would do a stroke work-up, CTA or MRA, and echocardiogram, as well as consideration of monitoring and also the management of risk factors. These could all be done on an outpatient basis. An inpatient stroke work-up would not be necessary.
Answer from: at Academic Institution
A lot of good and interesting answers. The short answer for me is, if you have the resources, yes. Admit the patient and get the work-up done ASAP.A silent infarct has the mechanisms any other stroke has, the patient was just lucky it hit an area of the brain that was not eloquent. Would you ad...
Answer from: at Academic Institution
Too many variables in question to make a simple call in or out patient workup.
Answer from: at Community Practice
Stroke prevention by identifying the etiology of the silent stroke.