How does premorbid dementia affect your decision to offer acute stroke intervention?

Receiving a report on an acute stroke patient with "dementia" often feels like an umbrella term and, in my experience, tends to serve more as a label than an accurate reflection of their baseline cognitive function. Ideally, having enough clinical information to classify cognitive impairment as mild...

Patients with dementia can still benefit from endovascular thrombectomy. Of course, they can at best be restored to their previous level of function, including their cognitive deficits. If the quality of life of the patient is still satisfactory, however, this treatment is justified. This position i...

I still offer the acute thrombolytic treatment to the legally authorized representative and the patient. However, I do discuss risks and benefits and expected outcomes in the setting of dementia. For thrombectomy, I take the mRS (per thrombectomy trials) into account and discuss it with INR colleagu...

This question assumes that acute treatment of stroke in an ED includes the patient’s history and recognition that the patient has dementia never mind if it’s mild, moderate, or severe. I don’t think it happens generally speaking if one takes a survey of patients who present to the ED with a stroke. ...