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Clinical Review State of the Art Review

Management of acute ischemic stroke

BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.l6983 (Published 13 February 2020) Cite this as: BMJ 2020;368:l6983

Rapid Response:

Re: Management of acute ischemic stroke

Dear Editor

I read your article on stroke with interest. However, I would like to make a point about naming the stroke, once you call it an acute ischemic stroke.

Stroke can be divided into ischemic or hemorrhagic, and the usual presentation of both types is acute. This is what has classically been referred to as apoplexy and also stroke. In the clinic we can find other forms of non-acute cerebrovascular disease, such as Binswanger's disease. Thus we can have acute or chronic cerebrovascular disease. Acute cerebrovascular disease is what we clinically know as stroke, but its name already implies the term acute. Therefore, to speak of acute cerebrovascular disease would be redundant and therefore not appropriate.

Competing interests: No competing interests

30 October 2020
Carlos Romero Gómez
MD, internal Medicine
Parque 16, 2A