• 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
    • 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

    *Decision to transfer should be made in collaboration with the WC Primary Providers (ED, IM, Neuro), UC Stroke Team, Neuro-IR, and Neurosurgery when clinically appropriate

    • RCVS
    • Venous Sinus Thrombosis
    • Middle meningeal artery embolization for subdural hematoma (may sometimes present with mimics)**
    • TIA or small stroke with carotid stenosis

    **Though not a “stroke” there can be significant overlap in consultations for such patients with symptoms