To the Editor We are somewhat perplexed after having read the Viewpoint by Avasarala,1 as it questions the role of the neurologist in the emergency department for acute stroke diagnosis. Although it is clear that the author is being deliberately provocative, we can only strongly disagree with the idea that a sudden-onset focal neurological deficit may be diagnosed as a stroke on the basis of a pattern-recognition algorithm alone, without a neurological assessment.
Rota E, Morelli N, Immovilli P. Stroke Diagnosis and Treatment in the Emergency Department. JAMA Neurol. 2017;74(3):361. doi:10.1001/jamaneurol.2016.5558