Author response: Effects of increasing IV tPA-treated stroke mimic rates at CT-based centers on clinical outcomes
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We appreciate Dr. Uchino's interest in our article,1 and his comparison to the stroke mimic thrombolysis treatment rates at CT-based spokes vs hub (6% vs 0.8%) during 2002–2005.2 The difference in mimic treatment rates with similar stroke neurologist phone guidance2 emphasizes the value of direct clinical evaluation by vascular neurologists to avoid unnecessary thrombolysis.1 Findings during our earlier epoch, 2005–2009, of a 9% spoke mimic treatment rate compare with Uchino et al.1 We agree that thrombolysis treatment of some mimics could be attributed to limitations of vascular neurology phone guidance only, as Uchino et al. demonstrated a low hub rate of less than 1%, which is similar to ours.2
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- Copyright © 2018 American Academy of Neurology
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