Table 2.
Severe hemispheric stoke syndrome |
Mild neurologic deficit defined as SSS > 50 |
Patient is already improving |
Patient does not meet the 6-h time window |
Pre-existing disabling neurologic disease |
Concomitant medical conditions such as esophageal varices, gastroduodenal ulcer, colitis, aortic aneurysm |
Recent trauma, operation or punctures (within 3 months) |
Computed tomography (CT) scan documented intracranial or intracerebral hemorrhage |
Major early infarct signs on CT scans such as diffuse swelling of affected hemisphere, parenchymal hypodensity, or effacement of cerebral sulci in more than 33% of the MCA territory |
ECASS = European Cooperative Acute Stroke Study; SSS = Scandinavian Stroke Scale; MCA= middle cerebral artery.