The HINTS exam alone, when assessed by emergency physicians in patients with acute vestibular syndromes (AVS), was not sufficient to rule out a central cause for vertigo. Have a low threshold to obtain MRI in patients with AVS and stroke risk factors.

Surgical decompression of a cerebellar intracerebral hemorrhage may improve survival, but it does not seem to improve survival with favorable neurological outcome.

Compared to the placebo group, patients who presented with ischemic stroke (4.5-9h from onset or wake-up stroke) with salvageable brain tissue identified on perfusion imaging and received tPA, had a slight improvement in functional outcome (mRS of 0-1) at 3 months (36% vs 29%) with higher rates of symptomatic intracerebral hemorrhage (5% vs <1%).

Follow these five steps to help you avoid missing a posterior circulation stroke.

Rapid sequence intubation in the prehospital setting was associated with an increase in mortality for stroke patients.