In my opinion this is just an early recognition of the 5 causes of the neuronal cascade of death in the first days, even if it couldn't be described properly yet.
What the fuck did your stroke hospital do with this information 37 years ago? Or is this just proof your hospital has been incompetent for 37 years? Did they do anything? NO? Then obviously they were and probably still are incompetent! Good luck with your recovery when going to an incompetent hospital.
Stroke-in-progression
Abstract
Stroke-in-progression or stroke-in-evolution or progressing stroke is a clinical entity which is frequently encountered in several major types of stroke possibly even more frequently than the classical abruptly completed stroke. Stroke-in-evolution is in fact a mosaic or constellation of conditions including various causes (large infarcts, lacunes, distal fields infarcts, hemorrhages), various types of evolution and various pathophysiological mechanisms. The number of well-studied clinical cases in the literature is surprisingly small. Many of the proposed definitions are not adequate. Although it has been advised that the concept of of progressing stroke be discarded, this advice seems premature considering that it is a common and critical condition and one which has been in fact imperfectly and incompletely investigated. Instead, it would appear better to organize a prospective study with detailed clinical reports, serial CT, angiography, and when possible NMR PET or SPECT and detailed pathological examination of brain and extra-intracranial cerebral arteries. The magnitude of the task is such that a multicenter study would probably be required.
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