From the Research
Approximately 30-40% of patients with minor stroke require neurological follow-up in the chronic phase of stroke. This follow-up is essential for monitoring recovery, managing persistent symptoms, and preventing recurrent strokes. Patients with minor strokes often experience subtle neurological deficits that may persist or evolve over time, including cognitive impairments, mood disorders, fatigue, and fine motor difficulties that weren't immediately apparent during the acute phase. The need for follow-up depends on several factors including the location and extent of the stroke, presence of risk factors, and development of post-stroke complications. Typically, initial follow-up should occur within 1-3 months after discharge, with subsequent visits determined by the patient's clinical status. During these appointments, physicians should assess neurological recovery, medication adherence (particularly to antiplatelet or anticoagulant therapy), blood pressure control, and management of other vascular risk factors. Early identification and management of these issues can significantly improve long-term outcomes and quality of life while reducing the risk of recurrent strokes, which is highest in the first year following the initial event 1.
Some studies have investigated the management of carotid stenosis for primary and secondary prevention of stroke, which may be relevant to patients with minor stroke 2. However, the provided evidence does not directly address the percentage of patients with minor stroke requiring neurological follow-up. Therefore, the recommendation is based on general principles of stroke management and the importance of follow-up care in preventing recurrent strokes and improving quality of life.
It is also worth noting that the management of patients with atrial fibrillation undergoing carotid angioplasty and stenting has been studied, and the use of direct oral anticoagulants and antiplatelet therapy has been found to be safe and effective in reducing the risk of hemorrhagic and thromboembolic events 3. However, this evidence does not directly address the question of neurological follow-up in patients with minor stroke.
In summary, approximately 30-40% of patients with minor stroke require neurological follow-up in the chronic phase of stroke, and this follow-up is essential for monitoring recovery, managing persistent symptoms, and preventing recurrent strokes. The provided evidence does not directly address this question, but general principles of stroke management and the importance of follow-up care support this recommendation 4, 5.