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Comment & Response
March 2017

Stroke Diagnosis and Treatment in the Emergency Department

Author Affiliations
  • 1Neurology Unit Novi Ligure/Tortona, ASLAL, Novi Ligure, Italy
  • 2Neurology Unit, Guglielmo da Saliceto Hospital, Piacenza, Italy
  • 3Radiology Unit, Guglielmo da Saliceto Hospital, Piacenza, Italy
JAMA Neurol. 2017;74(3):361. doi:10.1001/jamaneurol.2016.5558

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.

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