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Comment & Response
March 2017

Stroke Diagnosis and Treatment in the Emergency Department

Author Affiliations
  • 1Mayo Clinic, Jacksonville, Florida
JAMA Neurol. 2017;74(3):362. doi:10.1001/jamaneurol.2016.5561

To the Editor We read with interest the Viewpoint by Avasarala.1 The author suggested that the diagnosis of acute stroke can, and should, be made without a neurologist, as acute stroke management is a “cookbook” easily performed by nonneurologists, with little downside to treating “false-positives.” We propose that complete stroke diagnosis is not a cookbook algorithm and that stroke care goes beyond the initial diagnosis. The neurologist plays a prominent role in both.