ESO Guideline Directory

Latest ESO Guidelines

European Stroke Organisation (ESO) and European Society for Minimally Invasive Neurological Therapy (ESMINT) Guideline on Acute Management of Basilar Artery Occlusion

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European Stroke Organisation (ESO) Guidelines on the diagnosis and management of patent foramen ovale (PFO) after stroke

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Guidelines

Acute Stroke

2024 — European Stroke Organisation (ESO) and European Society for Minimally Invasive Neurological Therapy (ESMINT) Guideline on Acute Management of Basilar Artery Occlusion Watch the video Download the slides

2023 — European Stroke Organisation (ESO) Guideline on Primary Angiitis of the Central Nervous System (PACNS) Watch the video Download the slides

2023 — European Stroke Organisation (ESO) Expedited Recommendation on tenecteplase for acute ischaemic stroke Watch the video Download the slides

2022 — ESO Guideline on Treatment of Patients with Intracranial Atherosclerotic disease (ICAD) Watch the video Download the slides

2022 — European Stroke Organisation (ESO) Guidelines on Stroke in Women: Management of menopause, pregnancy and postpartum Watch the video Download the slides

2022 — ESO-ESMINT Expedited recommendation on intravenous thrombolysis before mechanical thrombectomy in patients with acute ischaemic stroke Watch the video Download the slides

2022 — Mobile Stroke Units in Acute Stroke Management Watch the video Download the slides

2021 — Management of Extracranial and Intracranial Artery Dissection

2021 — Blood Pressure Management in Acute Ischaemic Stroke and Intracerebral Haemorrhage Watch the video Download the slides

2021 — Management of Space-Occupying Brain Infarction Watch the video Download the slides

2021 — Management of Transient Ischaemic Attack

2021 — Intravenous Thrombolysis

2019 — Mechanical Thrombectomy

2019 — Reversal of Oral Anticoagulants after ICH

2019 —Consensus Statements from the ESO-Karolinska Stroke Update Conference

2018 — Prehospital management

2017 — Cerebral venous thrombosis

2017 — Consensus Statements from the ESO-Karolinska Stroke Update Conference

2016 — Training Guideline for Endovascular Stroke Intervention

2014 — Intracerebral Hemorrhage

2013 — Subarachnoid Haemorrhage & Aneurysms

Prevention and Management of Complications

2023 — European Stroke Organisation (ESO) Moyamoya angiopathy Watch the video Download the slides

2022 — European Stroke Organisation (ESO) Guidelines on Stroke in Women: Management of menopause, pregnancy and postpartum Watch the video Download the slides

2021 — ESO and EAN joint Guidelines on post-stroke cognitive impairment

2021 — ESO and European Society for Swallowing Disorders Guideline for the Diagnosis and Treatment of Post-Stroke Dysphagia

2021 — Covert Small Vessel Disease Watch the video Download the slides

2021 — Endarterectomy and Stenting for Carotid Artery Stenosis

2019 — Consensus Statements from the ESO-Karolinska Stroke Update Conference

2018 — Glycaemia

2017 — Post-stroke seizures and epilepsy

2017 — Consensus Statements from the ESO-Karolinska Stroke Update Conference

2016 — VTE prophylaxis

2015 — Temperature

Primary Prevention

2022 — Management of unruptured intracranial aneurysms Watch the video

Secondary Prevention

2024 — Diagnosis and management of patent foramen ovale (PFO) after stroke Watch the video Download the slides

2022 — Screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin Watch the video Download the slides

2022 — ESO Guideline on Treatment of Patients with Intracranial Atherosclerotic disease (ICAD) Watch the video Download the slides

2022 — Pharmacological interventions for long-term secondary prevention after ischaemic stroke or transient ischaemic attack Watch the video Download the slides

2021 — Endarterectomy and Stenting for Carotid Artery Stenosis Watch the video.

2021 — Management of Extracranial and Intracranial Artery Dissection

2021 — Short-term dual antiplatelet therapy early after minor stroke and high-risk TIA

2020 —Sleep and Stroke

2019 — Secondary Prevention – Atrial fibrillation

2019 —Consensus Statements from the ESO-Karolinska Stroke Update Conference

2017 — Consensus Statements from the ESO-Karolinska Stroke update Conference

2014 — Intracerebral Hemorrhage

Rehabilitation and long-term consequences of stroke

2023 — Motor rehabilitation after stroke: ESO consenus-based definition and guiding framework Watch the video Download the slides

2021 — ESO and EAN joint Guidelines on post-stroke cognitive impairment Download the slides

2021 — ESO and European Society for Swallowing Disorders Guideline for the Diagnosis and Treatment of Post-Stroke Dysphagia

2020 — Sleep & Stroke

2019 — Consensus Statements from the ESO-Karolinska Stroke Update Conference

2017 — Post-stroke seizures and epilepsy

2017 — Consensus Statements from the ESO-Karolinska Stroke Update Conference

ESO Standard Operating Procdures

European Stroke Organisation (ESO) Standard Operating Procedure for the preparation and publishing of guidelines

European Stroke Organisation (ESO) Standard Operating Procedure addendum on expansion of inclusivity of ESO Guidelines

European Stroke Organisation (ESO) Standard Operating Procedure addendum collaboration process for joint guidelines

European Stroke Organisation (ESO) Standard Operating Procedure for translation of guidelines

European Stroke Organisation (ESO) Standard Operating Procedure for collaboration between ESO and national guideline producers

European Stroke Organisation (ESO) Standard Operating Procedure for updating ESO guidelines

European Stroke Organisation (ESO) Standard Operating Procedure for white papers

Guidelines in Development

Update on Intracerebral Hemorrhage (ICH)
Motor/gait Rehabilitation after stroke
Aphasia Rehabilitation after stroke
Cognitive Rehabilitation after stroke
Assessment and Rehabilitation of visual disturbances after stroke
Update on Aneurysmal subarachnoid hemorrhage (SAH)
Post-stroke pneumonia
Primary stroke prevention
PRES RCVS
Update on Endarterectomy and stenting for carotid artery stenosis
Update on Blood pressure management
Pre-hospital management
Reperfusion Therapy for acute ischaemic stroke
Update on Management of post-stroke seizures and epilepsy

White Papers in Development

AIS in the young
CAA (Cerebral Amyloid Angiopathy)

ESO publishes two types of documents

Full ESO Guideline Document with evidence-based recommendations and expert consensus statements (for characteristics see table below)
Expedited recommendation in instances where there is at least one published guideline-changing RCT

GUIDELINE
DOCUMENT

Evidence-based recommendation

Uses GRADE methodology
Follows ESO Guideline SOP
Provides high-quality outcome
Offers detailed document (available online)
Entails time-consuming process
Is published in the ESJ

Expert Consensus Statement (ECS)

Selected format if there is insufficient evidence to provide an evidence-based recommendation
Presented in the guideline document with the result of a majority vote

EXPEDITED
RECOMMENDATION

Conducted in the presence of at least one published guideline-changing RCT
Typically answers one main PICO question
Based on GRADE except that a formal systematic review is not mandatory
Rapidly available on the ESO website / MAGICApp
Published in the ESJ

Guidelines published between 2003-2009

2009

2009 Ischaemic Stroke Update 2009 – Dutch

2009 Thrombolytic therapy

2008

2008 Ischaemic Stroke – Translation in Bulgarian, Chinese, Czech, Finnish, French, Greek, Hungarian, Italian, Polish, Portuguese, Romanian, Russian, Spanish, Turkish

2003

2003 Prophylaxis and Treatment – Information for doctors

2003 Cerebrovascular Diseases

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