Neurology & Stroke Clinical Guidelines
Neurology and stroke guidelines index: AHA/ASA, Neurocritical Care Society, AES, ILAE, AAN, and Brain Trauma Foundation guidelines with edition and source.
Neurology & Stroke
The neurology and stroke hub: governing AHA/ASA, Neurocritical Care Society, AES, ILAE, AAN, and Brain Trauma Foundation guidelines, with edition and source.
Neurology is the discipline concerned with disorders of the brain, spinal cord, peripheral nerves, and muscle. Within hospital practice its most time-critical work is cerebrovascular: acute ischemic stroke, spontaneous intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage, together with the secondary prevention that follows. Alongside stroke sit the neurocritical care problems that share the same pathways, status epilepticus, cerebral edema and raised intracranial pressure, and severe traumatic brain injury, and the ambulatory neurology questions, such as antiseizure medication in people of childbearing potential, that shape inpatient decisions.
This section is new. It currently indexes the governing professional-society guidelines for neurology and stroke, with publisher, current edition, scope, and a link to the source for each. Multi-part syntheses in the site’s usual format, with DOI-linked citations and sequential part pages, are being added and will be linked from this page as they publish.
Governing guidelines
| Guideline | Publisher | Edition | Scope | Source |
|---|---|---|---|---|
| 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke | AHA/ASA | 2026, replacing the 2019 update to the 2018 guideline | Prehospital care, emergency evaluation, intravenous thrombolysis and endovascular therapy, and in-hospital management including early secondary prevention, in adults | Stroke |
| Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage | AHA/ASA | 2022 | Diagnosis, acute inpatient care, prevention, and rehabilitation for spontaneous ICH not caused by trauma or a visualized structural lesion | Stroke |
| Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage | AHA/ASA | 2023, replaces 2012 | Diagnosis, systems of care, treatment of the ruptured aneurysm, inpatient management of complications, nursing care, and recovery | Stroke |
| Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack | AHA/ASA | 2021 | Diagnostic evaluation and secondary prevention after ischemic stroke or TIA | Stroke |
| Guideline for the Primary Prevention of Stroke | AHA/ASA | 2024, replaces 2014 | Risk assessment and prevention strategies for people with no history of stroke | Stroke |
| Guidelines for the Evaluation and Management of Status Epilepticus | Neurocritical Care Society | 2012 | Definitions, evaluation, and treatment of convulsive, non-convulsive, and refractory status epilepticus in critically ill patients | Neurocritical Care |
| Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults | American Epilepsy Society | 2016 | Pharmacologic treatment of early convulsive status epilepticus, with an evidence-based treatment algorithm | Epilepsy Currents |
| A Definition and Classification of Status Epilepticus | ILAE Task Force on Classification of Status Epilepticus | 2015 | Operational definition of status epilepticus (time points t1 and t2) and classification by semiology, etiology, EEG correlate, and age | PubMed |
| Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients | Neurocritical Care Society | 2020 | Hyperosmolar agents, corticosteroids, and selected non-pharmacologic therapies for cerebral edema in subarachnoid hemorrhage, ischemic stroke, intracerebral hemorrhage, traumatic brain injury, bacterial meningitis, and hepatic encephalopathy | PubMed |
| Guidelines for the Management of Severe Traumatic Brain Injury | Brain Trauma Foundation | 4th edition, 2016, with a 2020 update of the decompressive craniectomy recommendations | Monitoring and treatment of severe TBI across 18 topics, including intracranial pressure monitoring, treatment of brain swelling, surgical procedures, and nutrition | Brain Trauma Foundation |
| Teratogenesis, Perinatal, and Neurodevelopmental Outcomes After In Utero Exposure to Antiseizure Medication | AAN, AES, and SMFM | 2024 | Antiseizure medication selection and folic acid supplementation in people with epilepsy of childbearing potential | Neurology |
How this section is used
For protocol development, start from the source list above. Each row links to the publishing society’s page or the journal landing page, which carries the full recommendation text, the evidence tables, and any corrections or focused updates issued since publication. When the site’s neurology syntheses publish, each will list its complete source set in its footnotes and will be linked from this page.
For point-of-care questions, Lumen retrieves from this corpus and cites the page it answers from. Departments that want the same source set available to every clinician on a service can read about how a neurology and stroke service runs these guidelines as one shared Lumen workspace.
Related departments
- Emergency Medicine, where acute stroke recognition, thrombolysis decisions, airway management, and first-line seizure control begin
- Critical Care, which carries post-cardiac arrest care and neuroprognostication, sedation and delirium, and mechanical ventilation for the neurocritical care patient
- Vascular Access, for the arterial and central venous access that underlies hemodynamic monitoring and hyperosmolar therapy
- Infection Prevention, for device-associated infection in patients with external ventricular drains and prolonged central access
- Cardiology, where atrial fibrillation management and anticoagulation decisions overlap secondary stroke prevention
- Surgery & Trauma, for the trauma pathway that precedes severe traumatic brain injury management
- Obstetrics & Maternal Care, for epilepsy and antiseizure medication in pregnancy
- Pharmacy, for anticoagulation and antiseizure medication management
Frequently asked questions
What does the neurology and stroke section of The Clinical Database cover?
The section indexes the professional-society guidelines that govern acute stroke care, stroke prevention, status epilepticus, cerebral edema and intracranial pressure, and severe traumatic brain injury, each with its publisher, current edition, scope, and a link to the source. Multi-part guideline syntheses in the site’s usual format are being added and will be linked from this page as they publish.
Which societies publish the guidelines indexed here?
The American Heart Association and American Stroke Association (acute ischemic stroke, intracerebral hemorrhage, aneurysmal subarachnoid hemorrhage, primary and secondary stroke prevention), the Neurocritical Care Society (status epilepticus, cerebral edema), the American Epilepsy Society, the International League Against Epilepsy, the American Academy of Neurology, and the Brain Trauma Foundation.
Does this page contain treatment recommendations?
No. This page and the guidelines index list the governing documents and their scope. Recommendation-level content, including thresholds, doses, and algorithms, belongs to the reviewed guideline syntheses, which will be linked here as they are published. Local protocols and medical direction govern actual care.
How does this section relate to the ICU and emergency medicine hubs?
Acute stroke, status epilepticus, and severe traumatic brain injury begin in the emergency department and are frequently managed in the ICU. The Emergency Medicine hub carries the front-door stroke and airway content, and the Critical Care hub carries post-cardiac arrest care, sedation and delirium, and mechanical ventilation. This hub is the index for the neurology-specific governing guidelines.
How does Lumen use this section?
Lumen retrieves from The Clinical Database corpus when answering point-of-care questions and cites the page it drew from. As neurology syntheses are added, they become part of that retrievable corpus alongside the guideline index on this page.