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.
 
*Presents as [[weakness]], [[sensory loss]], [[gait]] abnormality and [[cranial nerve]] damage.
{|
{|
|-style="background: #4479BA; color: #FFFFFF; text-align: center;"
|-style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="2" |Diseases
! rowspan="2" |Diseases
! colspan="4" |Diagnostic tests
! colspan="5" |Diagnostic tests
! colspan="4" |Physical Examination
! colspan="4" |Physical Examination
! colspan="4" |History and Symptoms
! colspan="4" |Symptoms
! colspan="1" |Past medical history
! rowspan="2" |Other Findings
! rowspan="2" |Other Findings
|-style="background: #4479BA; color: #FFFFFF; text-align: center;"
|-style="background: #4479BA; color: #FFFFFF; text-align: center;"
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!CT /MRI
!CT /MRI
!CSF Findings
!CSF Findings
!Gold standard test
!Motor strength
!Motor strength
!Sensory deficit
!Sensory deficit
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!Motor weakness
!Motor weakness
!Abnormal sensations
!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>
|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: #DCDCDC; padding: 5px; text-align: center;" |Electrolyte disturbance
|style="background: #DCDCDC; padding: 5px; text-align: center;" |Electrolyte disturbance
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Intracranial neoplasm
|style="background: #DCDCDC; padding: 5px; text-align: center;" |Intracranial neoplasm
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Revision as of 22:33, 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

Diseases Diagnostic tests Physical Examination Symptoms Past medical history Other Findings
CBC BMP CT /MRI CSF Findings Gold standard test Motor strength Sensory deficit Reflexes Cranial

nerves

Headache LOC Motor weakness Abnormal sensations
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 +

References

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