Ischemic stroke differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
[[Neurosyphilis]] can present with strokes and must be differentiated from other causes. | [[Neurosyphilis]] can present with strokes and must be differentiated from other causes. | ||
*Presents as [[weakness]], [[sensory loss]], [[gait]] abnormality and [[cranial nerve]] damage. | *Presents as [[weakness]], [[sensory loss]], [[gait]] abnormality and [[cranial nerve]] damage. | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Neurosyphilis | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Neurosyphilis<ref name="pmid22482824">{{cite journal| author=Liu LL, Zheng WH, Tong ML, Liu GL, Zhang HL, Fu ZG et al.| title=Ischemic stroke as a primary symptom of neurosyphilis among HIV-negative emergency patients. | journal=J Neurol Sci | year= 2012 | volume= 317 | issue= 1-2 | pages= 35-9 | pmid=22482824 | doi=10.1016/j.jns.2012.03.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22482824 }} </ref><ref name="pmid24365430">{{cite journal |vauthors=Berger JR, Dean D |title=Neurosyphilis |journal=Handb Clin Neurol |volume=121 |issue= |pages=1461–72 |year=2014 |pmid=24365430 |doi=10.1016/B978-0-7020-4088-7.00098-5 |url=}}</ref> | ||
|style="background: #F5F5F5; padding: 5px;" |CSF | |style="background: #F5F5F5; padding: 5px;" |CSF | ||
Revision as of 21:03, 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.
- 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[1] | 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[2][3] | 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
- ↑ Morgenstern LB, Frankowski RF (1999). "Brain tumor masquerading as stroke". J Neurooncol. 44 (1): 47–52. PMID 10582668.
- ↑ Liu LL, Zheng WH, Tong ML, Liu GL, Zhang HL, Fu ZG; et al. (2012). "Ischemic stroke as a primary symptom of neurosyphilis among HIV-negative emergency patients". J Neurol Sci. 317 (1–2): 35–9. doi:10.1016/j.jns.2012.03.003. PMID 22482824.
- ↑ Berger JR, Dean D (2014). "Neurosyphilis". Handb Clin Neurol. 121: 1461–72. doi:10.1016/B978-0-7020-4088-7.00098-5. PMID 24365430.