Neurocalc Pro

NeuroCalc Pro puts evidence-based stroke decision support in your pocket. Designed by a practicing neurologist for rapid bedside use, this app delivers three validated clinical scoring tools essential for the workup of cryptogenic stroke and embolic stroke of undetermined source (ESUS).
INCLUDED CALCULATORS:
RoPE Score (Risk of Paradoxical Embolism)
Calculate the probability that a detected PFO is pathogenic versus incidental. Instantly view PFO-attributable fraction estimates based on Kent et al., Neurology 2013. Factors include age, vascular risk factor burden, and cortical infarct pattern.
PASCAL Classification (PFO-Associated Stroke Causal Likelihood)
Integrate PFO anatomy — shunt size, atrial septal aneurysm, hypermobility — with clinical features and vascular risk factors to classify causal likelihood as Unlikely, Possible, Probable, or Definite.
CATCH-AF Score
Stratify the risk of occult atrial fibrillation after ESUS to guide implantable cardiac monitor decision-making. Incorporates age, coronary artery disease, heart failure, and prior TIA/stroke. Derived and validated in 543 ICM-monitored patients with excellent discrimination (AUC 0.85). Based on D'Anna et al., International Journal of Stroke 2026.
BUILT FOR CLINICAL WORKFLOW:

Clean, mobile-optimized interface for one-handed bedside use
Real-time score calculation as you enter data
Color-coded risk stratification with clinical interpretation
No login required, no ads, no data collection
Works offline

DESIGNED FOR:
Vascular neurologists, stroke specialists, neurohospitalists, emergency physicians, cardiologists, neurology residents and fellows, advanced practice providers involved in stroke care.
NeuroCalc Pro is intended as a clinical reference tool only. Scores support but do not replace clinical judgment. Always correlate with full clinical context and multidisciplinary evaluation.