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Siriraj Stroke Score to Distinguish Supratentorial Intracerebral Haemorrhage from Infarction
BMJ 302:1565-1567, Poungvatin,N.,et al, 1991
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Article Abstract
The Siriraj stroke score was developed and calculated as(2-5x level of consciousness)+(2x vomiting)+(2x headache)+(0.1x diastolic blood pressure)-(3x atheroma markers)-12.A score above 1 indicates supratentorial intracerebral haemorrhage,while a score below-1 indicates infarction.The score between 1 and-1 represents an equivocal result needing a computerised brain scan or probability curve to verify the diagnosis.In the validation study of the Siriraj stroke score the diagnostic sensitivities of the score for cerebral haemorrhage and cerebral infarction were 89.3%and 93.2%respectively,with an overall predictive accuracy of 90.3%.Conclusion:The Siriraj stroke score is widely accepted and applied in hospitals throughout Thailand as a simple and reliable bedside method for diagnosing acute stroke.
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cerebral infarction
cerebrovascular accident
cerebrovascular accident,clinical diagnosis
intracerebral hemorrhage
neurologic disease,diagnoses of,clinical bedside
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