Ischemic stroke differential diagnosis: Difference between revisions
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|style="background: #DCDCDC; padding: 5px; text-align: center;" | Brain tumour | |style="background: #DCDCDC; padding: 5px; text-align: center;" | Brain tumour<ref name="pmid10582668">{{cite journal| author=Morgenstern LB, Frankowski RF| title=Brain tumor masquerading as stroke. | journal=J Neurooncol | year= 1999 | volume= 44 | issue= 1 | pages= 47-52 | pmid=10582668 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10582668 }} </ref> | ||
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Revision as of 20:55, 8 November 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Differential Diagnosis
Neurosyphilis can present with strokes and must be differentiated from other causes.[1]
- Presents as weakness, sensory loss, gait abnormality and cranial nerve damage.
Diseases | Laboratory Findings | Physical Examination | History and Symptoms | Other Findings | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Lab Test 1 | Lab Test 2 | Lab Test 3 | Lab Test 4 | Physical Finding 1 | Physical Finding 2 | Physical Finding 3 | Physical Finding 4 | Finding 1 | Finding 2 | Finding 3 | Finding 4 | ||
Brain tumour[2] | Decreased muscle strength | Sensory loss | Headache | Motor weakness | Seizures | ||||||||
Hemorrhagic stroke | Headache | Motor weakness | History of hypertension | ||||||||||
Subdural hemorrhage | Severe headache | Loss of consciousness | Vomiting | Muscle weakness | |||||||||
Neurosyphilis | CSF
changes |
+ | Headache | Muscle weakness | Sensory disturbances | cranial nerve involvement | History of STIs | ||||||
Complex or atypical migraine | ↑ | Unilateral headache | Aura causing visual and speech difficulties | Family history of migraine | |||||||||
Conversion disorder | ↓ | Sudden loss of motor strength | Loss of sensation or abnormal sensations | Behavioural
abnormalities |
|||||||||
Electrolyte disturbance | Confusion | Lack of orientation | Seizures | ||||||||||
Intracranial neoplasm | |||||||||||||
Meningitis or encephalitis | Fever | Neck stiffness | loss of consciousness | Cranial nerve damage | Lack of | ||||||||
Multiple sclerosis exacerbation | Pre | Visual changes | Muscle weakness | Relapsing and remitting course | |||||||||
Seizure | |||||||||||||
Hypoglycemia or hyperglycemia |
References
- ↑ Berger JR, Dean D (2014). "Neurosyphilis". Handb Clin Neurol. 121: 1461–72. doi:10.1016/B978-0-7020-4088-7.00098-5. PMID 24365430.
- ↑ Morgenstern LB, Frankowski RF (1999). "Brain tumor masquerading as stroke". J Neurooncol. 44 (1): 47–52. PMID 10582668.