Ischemic stroke differential diagnosis: Difference between revisions

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Revision as of 22:26, 8 November 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S [2]

Neurosyphilis can present with strokes and must be differentiated from other causes.

Diseases	Diagnostic tests				Physical Examination				History and Symptoms				Other Findings
Diseases	CBC	BMP	CT /MRI	CSF Findings	Motor strength	Sensory deficit	Reflexes	Cranial nerves	Headache	LOC	Motor weakness	Abnormal sensations	Other Findings
Brain tumour^[1]					↓	+			+
Hemorrhagic stroke						+			+	+
Subdural hemorrhage									+
Neurosyphilis^[2]^[3]			+		↓
Complex or atypical migraine	↑								+
Conversion disorder		↓			↓					+
Electrolyte disturbance
Intracranial neoplasm
Meningitis or encephalitis					↓				+
Multiple sclerosis exacerbation					↓
Seizure					↓					+
Hypoglycemia or hyperglycemia										+

↑ 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.

@@ Line 10: / Line 10: @@
 |-style="background: #4479BA; color: #FFFFFF; text-align: center;"
 ! rowspan="2" |Diseases
-! colspan="4" |Laboratory Findings
+! colspan="4" |Diagnostic tests
 ! colspan="4" |Physical Examination
 ! colspan="4" |History and Symptoms
@@ Line 16: / Line 16: @@
 |-style="background: #4479BA; color: #FFFFFF; text-align: center;"
 !CBC
-!CT scan
+!BMP
-!BMP
+!CT /MRI
-!CSF changes
+!CSF Findings
 !Motor strength
 !Sensory deficit
 !Reflexes
-!Gait
+!Cranial
+nerves
 !Headache
 !LOC