ESO Guideline Directory

Latest ESO Guidelines

ESO Guideline on screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin

ESO Guideline on management of unruptured intracranial aneurysms

ESO Guideline on pharmacological interventions for long-term secondary prevention after ischaemic stroke or transient ischaemic attack

ESO Guideline on treatment of patients with intracranial atherosclerotic disease (ICAD)

Guidelines

2021 European Stroke Organisation (ESO) standard operating procedure for the preparation and publishing of guidelines

2022 European Stroke Organisation (ESO) standard operating procedure addendum collaboration process for joint guidelines

2022 European Stroke Organisation (ESO) standard operating procedures for translation of guidelines

Acute Stroke

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

2022 — Mobile Stroke Units in Acute Stroke Management ▶️ Watch the video

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

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

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

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

Guidelines in Development

PFO Management
“Update” on the Intracerebral Hemorrhage Guideline
Moya Moya
Motor/gait Rehabilitation after stroke
Aphasia Rehabilitation after stroke
Rehabilitation of visual disturbances after stroke
Aneurysmal subarachnoid hemorrhage (SAH)
Post-stroke pneumonia
Primary angiitis of the central nervous system (PACNS)
Acute management of basilar artery occlusion
Expedited Recommendation on Tenecteplase in patients with acute ischemic stroke
Primary stroke prevention

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 (Abstract)

2008

2008 Ischaemic Stroke (Slidekit) – Translations in Bulgarian, Chinese, English, Finnish, French, German, Greek, Hungarian, Italian, Portuguese, Romanian, Russian, Spanish, Turkish

2003

2003 Prophylaxis and Treatment – Information for doctors

PDF Flyers in English, French, German, Italian, Lithuanian, Polish, Portuguese, Spanish, Chinese

2003 Cerebrovascular Diseases

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