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Revision as of 15:30, 9 November 2016
Ischemic Stroke Microchapters |
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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
Diseases | Diagnostic tests | Physical Examination | Symptoms | Past medical history | Other Findings | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Na+, K+, Ca2+ | CT /MRI | CSF Findings | Gold standard test | Motor Deficit | Sensory deficit | Speech or gait? | Cranial
nerves |
Headache | LOC | Motor weakness | Abnormal sensations | |||
Brain tumour[1] | + | MRI | + | + | + | + | Cahexia | |||||||
Hemorrhagic stroke | + | CT scan without contrast</ref></ref> | + | + | + | + | + | + | Hypertension+ | |||||
Subdural hemorrhage | + | CT scan without contrast | + | + | + | + | + | + | Trauma/fall | |||||
Neurosyphilis[2][3] | + | CSF VDRL-specifc
CSF FTA-Ab -sensitive[4] |
+ | + | + | + | + | STIs | ||||||
Complex or atypical migraine | Clinical assesment | + | + | Family history of migraine | ||||||||||
Conversion disorder | ↓ | Diagnosis of exclusion?? | + | + | + | + | + | + | ||||||
Electrolyte disturbance | ||||||||||||||
Intracranial neoplasm | ||||||||||||||
Meningitis or encephalitis | CSF analysis</ref> | + | + | Fever, Neck
rigidity | ||||||||||
Multiple sclerosis exacerbation | + | Clinical assesment and MRI </ref> | + | + | + | + | History of relapses and remissions | |||||||
Seizure | Clinical assesment and EEG [5] | + | + | + | + | History of similar episodes in the past | ||||||||
Hypoglycemia or hyperglycemia | HbA1c | + | + | + | History of diabetes | Palpitations, sweating |
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.
- ↑ Ho EL, Marra CM (2012). "Treponemal tests for neurosyphilis--less accurate than what we thought?". Sex Transm Dis. 39 (4): 298–9. doi:10.1097/OLQ.0b013e31824ee574. PMC 3746559. PMID 22421697.
- ↑ Manford M (2001). "Assessment and investigation of possible epileptic seizures". J Neurol Neurosurg Psychiatry. 70 Suppl 2: II3–8. PMC 1765557. PMID 11385043.