We describe 15 malpractice claims that were filed after the patients h
ad strokes. Both embolic and thrombotic, sterile and infected strokes
led to claims. Ten of the claims alleged physician failure to protect
the patient, two alleged physician failure to react as called for by s
ymptoms, and three were related to medication. We conclude that physic
ians should advise patients of the possibility of stroke when circumst
ances warrant it, as well as documenting their judgment and suggested
preventive practices. These cases further suggest that treatment decis
ions supported by documented second opinions may reduce the number of
malpractice claims for strokes.