Stroke Manual


This is online guide to stroke. It starts off with a definition of what a stroke is in terms of clinical findings and radiological supporting evidence and how this has changed with time. We look at the impact of stroke in the population with some epidemiology and an attempt to look at future expectations. This is then followed by a look at different stroke types and how these may differ clinical and in terms of aetiology and basic management.

We then move on to the clinical assessment of patients with suspect stroke and initial screening tests and then the typical more comprehensive assessment. We also need to be aware of stroke mimics and how to diagnose and manage them. We look at stroke prevention through the diagnosis and management of TIA. We then look at the basics and goals of hyperacute care and thrombolysis. We look at the role of surgery for stroke.

It is important to establish stroke aetiology and to be observant for unusual and rare causes so that they are not missed. It is important for all trainees to have a good understanding of stroke imaging modalities and other stroke investigations when they are needed and how to use them appropriately.

It is important to be able to prevent as well as identify and manage stroke complications. One needs to understand the role of rehabilitation after stroke and the issues with optimising life after stroke.

If you have any comments or would like to donate images or any other teaching material then please contact me. I have based the content broadly on the Stroke Curriculum.

I hope you find this site of interest. The main rationale is to provide high quality stroke information for professionals and public free on the internet. It is part of my work towards promoting free access to medical Knowledge online also known as FOAMed. Please bookmark the page and share with colleagues and please come back again. I am chair of the Training and Education committee at British association of stroke physicians which I would recommend to any physicians working in the UK should join. This website does not reflect the views of BASP and only my own opinions.

There has never been a better time to get involved with stroke. Recent changes and developments are coming quickly and we all need to get on with delivering these. The next few years will see the development of thrombectomy services throughout the UK using different models. It is vital that we use all the tools available to improve prognosis and outcome from this disease which is so disabling to many.

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