West Chester Stroke/TIA Admission Criteria
Inclusion Criteria
Acute onset of focal neurological dysfunction
- Post-TNK patients admitted to WCH ICU with post-TNK order set
- Stable non-TNK patients admitted to Acute Care Neurology Cohort Unit
Exclusion Criteria (Transfer to UCMC)*
- Large Vessel Occlusion and candidate for endovascular therapy (EVT)
- Large Vessel Occlusion with low NIHSS but concern for decompensation within 24 hours and need for EVT
- Basilar Artery Occlusion
- Acute Cervical or Vertebral Artery Dissection or unstable plaque with fluctuating symptoms and possible need for Neuro-intervention
- Critical stenosis with fluctuating symptoms and possible need for Neuro-intervention
- Large Vessel Stroke with concern for malignant cerebral edema and need for possible hemi-craniotomy
- Large Posterior Circulation Stroke with concern for malignant cerebral edema and possible need for sub-occipital craniectomy
- Acute Stroke with concern for subclinical status epilepticus with no EEG tech available
- WCH Neurology discretion
Equivocal (Discussion with Stroke Team/NIR Required)
- RCVS
- Venous Sinus Thrombosis
- Middle meningeal artery embolization for subdural hematoma (may sometimes present with mimics)**
- TIA or small stroke with carotid stenosis