Ischaemic stroke: poor prognostic features

Evidence-based neurology checklist on ischaemic stroke: poor prognostic features: 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…

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

Electrolyte imbalance

Renal impairment

Radiological factors

Blood indices

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. 
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