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September 22/29, 2010

Distinguishing Hemorrhagic Stroke From Ischemic Stroke—Reply

JAMA. 2010;304(12):1327-1328. doi:10.1001/jama.2010.1342

In Reply: We agree with Drs Kalantri and Kalantri that some clinical findings decrease the probability of hemorrhage in patients with stroke, although excluding hemorrhage with diagnostic certainty (eg, when considering anticoagulation or thrombolytic therapy) requires neuroimaging. We note that Dr S. Kalantri and others reached the same conclusion after investigating the Siriraj and Guy's hospital stroke scores in a rural, tertiary care hospital.1

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