BRIV_adv
Annals of Indian Academy of Neurology
  Users Online: 797 Home | About the Journal | InstructionsCurrent Issue | Back IssuesLogin      Print this page Email this page  Small font size Default font size Increase font size
REVIEW ARTICLE
Year : 2008  |  Volume : 11  |  Issue : 5  |  Page : 4-11

Bedside assessment of stroke and stroke mimics


1 UNC Stroke Program, Department of Neurology, University of North Carolina, Chapel Hill, North Carolina, USA
2 SMS Inc., Cockeysville, Maryland and Vanderbilt University School of Medicine, Nashville, Tennessee, USA

Correspondence Address:
Souvik Sen
UNC Stroke Center, 7001 NC Neuroscience Hospital, CB# 7025, Chapel Hill, NC 27599-7025
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Following ischemic stroke, interventions to bring about reperfusion must be implemented within the recognized timeframe; this means that timely clinical recognition of this condition is vital. The process of diagnosis begins with the initial bedside assessment of the patient to be followed by appropriate imaging studies. However, because reperfusion therapy may be attended by significant adverse consequences, and since imaging may be negative for many hours after stroke onset, the clinician must be aware of conditions that mimic cerebral ischemia. Depending on the timing and nature of ancillary testing, stroke mimics can be identified in 3-30% of patients presenting with the acute onset of a neurological deficit. These mimics include metabolic, traumatic, migrainous, neoplastic, endocrine, convulsive, and psychiatric disorders. Interestingly, the nature of these mimics, their frequency of occurrence, and presentation may vary between different geographical regions; however, detailed information regarding such variations is not available at present. This review provides an overview of the conditions that can masquerade as stroke, and includes information that may aid in their early detection or, at the very least, serve to warn the clinician that the patient is presenting with something other than cerebral ischemia.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed10712    
    Printed197    
    Emailed2    
    PDF Downloaded671    
    Comments [Add]    
    Cited by others 1    

Recommend this journal