Constructed teaching case
Low NIHSS, tandem occlusion
What is missing when the clinical score and vascular anatomy tell different stories?
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Decision-making in acute stroke
The problem
When the evidence grows faster than our ability to integrate it, how can we reduce noise in acute-stroke decisions?
Not all disagreement is noise. Evidence gaps, different circumstances and patient values can justify different decisions. The question is which variation remains after those differences are understood.
Examples
Constructed teaching case
Frailty and baseline dependency
Which outcome matters for this patient, and what uncertainty remains?
Read the casePublished posts in the author’s English; the selected labels and discussion questions are editorial drafts.
When we call thrombectomy “contraindicated”
Exclusion from a trial, uncertain benefit and evidence of harm are different things.Which uncertainty generates the most disagreement in your team?
Read the original LinkedIn postGrey zones at BelStroke
These grey-zone cases are part of everyday stroke practice, and deciding how far the evidence can take us deserves careful discussion.How far does the evidence take us in the patient in front of us?
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