Well this one I'll leave to the experts but for treating disabilities we should be looking at the objective damage images rather than the symptoms displayed.
The exact same deficit could have 9 causes.
See this example of nine reasons for a movement disability:
You can't tell me these all have the same solution, I'm not that stupid.
1. Penumbra damage to the motor cortex.
2. Dead brain in the motor cortex.
3. Penumbra damage in the pre-motor cortex.
4. Dead brain in the pre-motor cortex.
5. Penumbra damage in the executive control area.
6. Dead brain in the executive control area.
7. Penumbra damage in the white matter underlying any of these three.
8. Dead brain in the white matter underlying any of these three.
9. Spasticity preventing movement from occurring.
The latest here:
Stroke: Should we treat images or symptoms? A call for trial
Published:August 26, 2021DOI:https://doi.org/10.1016/j.ejrad.2021.109935
American stroke guidelines [[1]
] did not recommend mechanical thrombectomy (MT) for the treatment of patients with
asymptomatic/mild stroke (national institute health stroke scale [NIHSS] score 0/<6)
with large vessel occlusion (LVO). However, 24.9% of mild stroke patients have large
vessel occlusion (LVO) [[2]
], and 24.5–37.5% of these patients experience early neurological deterioration [3
,4
]. Moreover, 1/3 of patients with NIHSS < 6 and LVO do not have a successful recovery
[[5]
]. Several articles [6
,7
] have demonstrated the benefit of MT for patients with NIHSS < 6, and a case report
has shown the feasibility for M1 stroke patients with an NIHSS score 0 [[8]
].
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