Stroke mimics.
نویسندگان
چکیده
Stroke mimics are an important consideration for emergency physicians and physician extenders working in emergency departments. The emergency medicine physician must determine whether the acute neurologic deficits represent a transient event or a potential stroke. This article describes the common stroke mimic presentations by cause, including toxic-metabolic pathologies, seizure disorders, degenerative neurologic conditions, and peripheral neuropathies.
منابع مشابه
Stroke mimics in patients with clinical signs of stroke
Background: Stroke mimic is a major diagnostic challenge and may be difficult to distinguish from real strokes. The aim of this study was to evaluate the relative frequency of stroke mimics in patients with clinical signs of stroke. Methods: In this cross sectional-study, the medical records of 1985 patients with stroke admitted to Poursina Hospital were enrolled using the census technique. ...
متن کاملIdentification of Stroke Mimics in the Emergency Department Setting
BACKGROUND AND PURPOSE Previous studies have shown a stroke mimic rate of 9%-31%. We aimed to establish the proportion of stroke mimics amongst suspected acute strokes, to clarify the aetiology of stroke mimic and to develop a prediction model to identify stroke mimics. METHODS This was a retrospective cohort observational study. Consecutive "stroke alert" patients were identified over nine m...
متن کاملLetter by Radecki regarding article, "safety of thrombolysis in stroke mimics: results from a multicenter cohort study".
BACKGROUND AND PURPOSE Intravenous thrombolysis for acute ischemic stroke is beneficial within 4.5 hours of symptom onset, but the effect rapidly decreases over time, necessitating quick diagnostic in-hospital work-up. Initial time strain occasionally results in treatment of patients with an alternate diagnosis (stroke mimics). We investigated whether intravenous thrombolysis is safe in these p...
متن کاملStroke mimics in patients with clinical signs of stroke
BACKGROUND Stroke mimic is a major diagnostic challenge and may be difficult to distinguish from real strokes. The aim of this study was to evaluate the relative frequency of stroke mimics in patients with clinical signs of stroke. METHODS In this cross sectional-study, the medical records of 1985 patients with stroke admitted to Poursina Hospital were enrolled using the census technique. Dat...
متن کاملSafety of thrombolysis in stroke mimics: an observational cohort study from an urban teaching hospital in Sweden
OBJECTIVES Acute stroke management has changed dramatically over the recent years, where a timely assessment is driven by the expanding treatment options of acute ischaemic stroke. This increases the risk in treating non-stroke patients (stroke mimics) with a possibly hazardous intravenous thrombolysis treatment (IVT). SETTING Patients of the thrombolysis registry of Södersjukhuset AB, a seco...
متن کاملThrombolysis in stroke mimics: frequency, clinical characteristics, and outcome.
BACKGROUND AND PURPOSE Intravenous thrombolysis for acute ischemic stroke is usually based on clinical assessment, blood test results, and CT findings. Intravenous thrombolysis of stroke mimics may occur but has not been studied in detail. METHODS We determined frequency, clinical characteristics, and outcome of mimic patients versus patients with stroke treated with intravenous thrombolysis ...
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عنوان ژورنال:
- Emergency medicine clinics of North America
دوره 30 3 شماره
صفحات -
تاریخ انتشار 2012