Stroke mimics: incidence, aetiology, clinical features and treatment
AbstractMimics account for almost half of hospital admissions for suspected stroke. Stroke mimics may present as a functional (conversion) disorder or may be part of the symptomatology of a neurological or medical disorder. While many underlying conditions can be recognized rapidly by careful assess...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2021.1890205 |
| _version_ | 1797385707311857664 |
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| author | Brian H. Buck Naveed Akhtar Anas Alrohimi Khurshid Khan Ashfaq Shuaib |
| author_facet | Brian H. Buck Naveed Akhtar Anas Alrohimi Khurshid Khan Ashfaq Shuaib |
| author_sort | Brian H. Buck |
| collection | DOAJ |
| description | AbstractMimics account for almost half of hospital admissions for suspected stroke. Stroke mimics may present as a functional (conversion) disorder or may be part of the symptomatology of a neurological or medical disorder. While many underlying conditions can be recognized rapidly by careful assessment, a significant proportion of patients unfortunately still receive thrombolysis and admission to a high-intensity stroke unit with inherent risks and unnecessary costs. Accurate diagnosis is important as recurrent presentations may be common in many disorders. A non-contrast CT is not sufficient to make a diagnosis of acute stroke as the test may be normal very early following an acute stroke. Multi-modal CT or magnetic resonance imaging (MRI) may be helpful to confirm an acute ischaemic stroke and are necessary if stroke mimics are suspected. Treatment in neurological and medical mimics results in prompt resolution of the symptoms. Treatment of functional disorders can be challenging and is often incomplete and requires early psychiatric intervention. |
| first_indexed | 2024-03-08T21:58:11Z |
| format | Article |
| id | doaj.art-945b6451908141248106d6aa1be5f3b4 |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-03-08T21:58:11Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-945b6451908141248106d6aa1be5f3b42023-12-19T16:46:27ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602021-01-0153142043610.1080/07853890.2021.1890205Stroke mimics: incidence, aetiology, clinical features and treatmentBrian H. Buck0Naveed Akhtar1Anas Alrohimi2Khurshid Khan3Ashfaq Shuaib4Department of Medicine (Neurology), University of Alberta, Edmonton, CanadaNeurological Institute, Hamad Medical Corporation, Doha, QatarDepartment of Medicine (Neurology), University of Alberta, Edmonton, CanadaDepartment of Medicine (Neurology), University of Alberta, Edmonton, CanadaDepartment of Medicine (Neurology), University of Alberta, Edmonton, CanadaAbstractMimics account for almost half of hospital admissions for suspected stroke. Stroke mimics may present as a functional (conversion) disorder or may be part of the symptomatology of a neurological or medical disorder. While many underlying conditions can be recognized rapidly by careful assessment, a significant proportion of patients unfortunately still receive thrombolysis and admission to a high-intensity stroke unit with inherent risks and unnecessary costs. Accurate diagnosis is important as recurrent presentations may be common in many disorders. A non-contrast CT is not sufficient to make a diagnosis of acute stroke as the test may be normal very early following an acute stroke. Multi-modal CT or magnetic resonance imaging (MRI) may be helpful to confirm an acute ischaemic stroke and are necessary if stroke mimics are suspected. Treatment in neurological and medical mimics results in prompt resolution of the symptoms. Treatment of functional disorders can be challenging and is often incomplete and requires early psychiatric intervention.https://www.tandfonline.com/doi/10.1080/07853890.2021.1890205StrokemimicsMRIrecurrenceTIA |
| spellingShingle | Brian H. Buck Naveed Akhtar Anas Alrohimi Khurshid Khan Ashfaq Shuaib Stroke mimics: incidence, aetiology, clinical features and treatment Annals of Medicine Stroke mimics MRI recurrence TIA |
| title | Stroke mimics: incidence, aetiology, clinical features and treatment |
| title_full | Stroke mimics: incidence, aetiology, clinical features and treatment |
| title_fullStr | Stroke mimics: incidence, aetiology, clinical features and treatment |
| title_full_unstemmed | Stroke mimics: incidence, aetiology, clinical features and treatment |
| title_short | Stroke mimics: incidence, aetiology, clinical features and treatment |
| title_sort | stroke mimics incidence aetiology clinical features and treatment |
| topic | Stroke mimics MRI recurrence TIA |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2021.1890205 |
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