Chronic Post-Stroke Fatigue: It May No Longer Be About the Stroke Itself

Early Post-Stroke Fatigue (PSF) is shown to be linked to stroke severity (using NIHSS and mRS scores), while chronic PSF is driven by medical co-morbidities and medication use. This is clinically important as continued fatigue 6 months post-stroke may be reflective of other factors. 

Chen, K., & Marsh, E. B. (2018). Chronic Post-Stroke Fatigue: It May No Longer Be About the Stroke Itself. Clinical Neurology and Neurosurgery. doi:10.1016./j.clineuro.2018.09.027. Click to read article

Pre-stroke employment results in better patient-reported outcomes after minor stroke

Prior occupational status may represent an important prognostic indicator for patients with minor stroke. Individuals working at the time of their infarct report better functional outcomes irrespective of age or stroke severity.

Marsh EB, Lawrence E, Hillis AE, Chen K, Gottesman RF, Llinas RH. Pre-stroke employment results in better patient-reported outcomes after minor stroke. Clinical Neurology and Neurosurgery 2018;165:38-42.
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{2016}

The NIH Stroke Scale Has Limited Utility in Accurate Daily Monitoring of Neurologic Status

The NIHSS has many advantages; however, it may miss functional changes when used in place of a comprehensive neurological examination to measure improvement post-stroke.

Marsh EB, Lawrence E, Gottesman RF, Llinas RH. The NIH stroke scale has limited utility in accurate daily monitoring of neurologic status. Neurohospitalist 2016;6(3):97-101.
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