Ischemic stroke differential diagnosis: Difference between revisions

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Revision as of 21:11, 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]

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
Diseases	CBC	CT scan	BMP	CSF changes	Motor strength	Sensory deficit	Reflexes	Gait	Headache	LOC	Motor weakness	Abnormal sensations	Other Findings
Brain tumour^[1]
Hemorrhagic stroke
Subdural hemorrhage
Neurosyphilis^[2]^[3]	CSF changes		+
Complex or atypical migraine	↑
Conversion disorder		↓									abnormalities
Electrolyte disturbance
Intracranial neoplasm
Meningitis or encephalitis
Multiple sclerosis exacerbation
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.

Template:WikiDoc Sources

[pmid10582668-1] Morgenstern LB, Frankowski RF (1999). "Brain tumor masquerading as stroke". J Neurooncol. 44 (1): 47–52. PMID 10582668.

[pmid22482824-2] 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.

[pmid24365430-3] Berger JR, Dean D (2014). "Neurosyphilis". Handb Clin Neurol. 121: 1461–72. doi:10.1016/B978-0-7020-4088-7.00098-5. PMID 24365430.

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 ! rowspan="2" |Other Findings
 |-style="background: #4479BA; color: #FFFFFF; text-align: center;"
-!Lab Test 1
+!CBC
-!Lab Test 2
+!CT scan
-!Lab Test 3
+!BMP
-!Lab Test 4
+!CSF changes
-!Physical Finding 1
+!Motor strength
-!Physical Finding 2
+!Sensory deficit
-!Physical Finding 3
+!Reflexes
-!Physical Finding 4
+!Gait
-!Finding 1
+!Headache
-!Finding 2
+!LOC
-!Finding 3
+!Motor weakness
-!Finding 4
+!Abnormal sensations
 |-
 |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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-|style="background: #F5F5F5; padding: 5px;" |Decreased muscle strength
-|style="background: #F5F5F5; padding: 5px;" |Sensory loss
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Headache
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Motor weakness
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Seizures
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-|style="background: #F5F5F5; padding: 5px;" |Headache
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Motor weakness
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |History of hypertension
+|style="background: #F5F5F5; padding: 5px;" |
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 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Severe headache
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Loss of consciousness
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Vomiting
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Muscle weakness
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-|style="background: #F5F5F5; padding: 5px;" |Headache
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Muscle weakness
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Sensory disturbances
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |cranial nerve involvement
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |History of STIs
+|style="background: #F5F5F5; padding: 5px;" |
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Complex or atypical migraine
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 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Unilateral headache
-|style="background: #F5F5F5; padding: 5px;" |Aura causing visual and speech difficulties
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Family history of migraine
+|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |
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 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Conversion disorder
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 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Sudden loss of motor strength
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Loss of sensation or abnormal sensations
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Behavioural
+|style="background: #F5F5F5; padding: 5px;" |
 abnormalities
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 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Confusion
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Lack of orientation
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Seizures
+|style="background: #F5F5F5; padding: 5px;" |
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 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Fever
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Neck stiffness
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |loss of consciousness
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Cranial nerve damage
+|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Lack of
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 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Multiple sclerosis exacerbation
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-|style="background: #F5F5F5; padding: 5px;" |Pre
-|style="background: #F5F5F5; padding: 5px;" |Visual changes
-|style="background: #F5F5F5; padding: 5px;" |Muscle weakness
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Relapsing and remitting course
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 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Seizure

Ischemic stroke differential diagnosis: Difference between revisions

Revision as of 21:11, 8 November 2016

Overview

Differential Diagnosis

References

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