The diagnostic evaluation in a patient presenting with acute stroke has several purposes depending on the clinical circumstances. These include identifying stroke mimics, differentiating ischemic stroke from intracerebral hemorrhage in the acute setting, clarifying stroke localization, and determining the stroke mechanism to guide secondary prevention. The neurologist needs to be aware of the cost implications of different approaches to the diagnostic evaluation.
Address correspondence to Dr James F. Burke, RWJ Foundation Clinical Scholars Program, 2800 Plymouth Rd, NCRC B10-G016, Ann Arbor, MI 48109-2800, firstname.lastname@example.org.
Relationship Disclosure: Dr Burke has reviewed case materials for medical malpractice defense cases and receives funding from the National Institute of Neurological Disorders and Stroke.
Unlabeled Use of Products/Investigational Use Disclosure: Dr Burke reports no disclosure.