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The Canadian Neurological Scale: a preliminary study in acute stroke.
Author(s) -
Robert Côté,
V C Hachinski,
Bette L. Shurvell,
John W. Norris,
Christina Wolfson
Publication year - 1986
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.17.4.731
Subject(s) - medicine , glasgow coma scale , aphasia , level of consciousness , acute stroke , coma (optics) , stroke (engine) , glasgow outcome scale , intensive care medicine , pediatrics , anesthesia , psychiatry , emergency department , mechanical engineering , physics , optics , engineering
Acute central nervous system dysfunction resulting in coma can be measured simply and reliably by the Glasgow scale. However, when the injury does not impair consciousness and the patient has aphasia, no comparable scale exists. A complementary scale to assess conscious and aphasic patients is proposed. Preliminary validation has been carried out in acute stroke patients, who commonly suffer neurological deficits without loss of consciousness. A simple standardized scale aids in the monitoring of neurological status, and may help in the assessment of prognosis and therapy.

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