Amaurosis fugax and crescendo transient ischaemic attacks

A Stroke of Vision as One-and-a-Half Syndrome: Is It Time to Update the FAST Criteria and ABCD2 Score?

“…[19]. We recommend a new mnemonic for acute stroke as 'Be Very FAST' ('Be', balance; 'Very', vision; 'F', facial drooping; 'A', arm weakness; 'S', speech difficulties; and 'T', time elapsed window following an event) ( We also recommend a new scoring system of 'ABCD2E' while formulating the risk of stroke in patients presenting with a transient ischaemic attack instead of the older scoring system of ABCD2 (Table 3) again highlighting the need for the inclusion of visual symptoms in patients presenting with symptoms of a transient ischaemic attack, as proposed by Zafar et al [20,21].…”

“…The NIHSS is a 15-item neurological examination stroke scale used to assess the effect of acute cerebral stroke. The score outcome is stratified as very severe (>25), severe (15)(16)(17)(18)(19)(20)(21)(22)(23)(24), mild-to-moderately severe (5)(6)(7)(8)(9)(10)(11)(12)(13)(14), and mild (1-4) [11]. With 42 being the highest score possible, the higher the NIHSS score, the more impaired a stroke patient is likely to be [12].…”