The Cincinnati Stroke Scale is a fundamental diagnostic checklist to discover the suspicion of stroke and useful for the early detection of CVA/TIA. We all use it frecuently.
I know I am preaching to the choir here but for context I will mention that it evaluates three major physical findings. 1. Facial droop 2. Motor arm weakness 3. Speech abnormalities
.
I have read that a fourth sign is a tongue deviation associated with supranuclear 7th nerve palsy and that the tongue will deviate toward the side of the weakness.
Do you have experience with this sign?
Do you include it in you differential evaluation of patients’ suspect of CVA/TIA?