Ischemic stroke differential diagnosis: Difference between revisions
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! rowspan="2" |Diseases | ! rowspan="2" |Diseases | ||
! colspan=" | ! colspan="4" |Diagnostic tests | ||
! colspan="4" |Physical Examination | ! colspan="4" |Physical Examination | ||
! colspan="4" |Symptoms | ! colspan="4" |Symptoms | ||
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! rowspan="2" |Other Findings | ! rowspan="2" |Other Findings | ||
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!Na+, K+, Ca2+ | !Na+, K+, Ca2+ | ||
!CT /MRI | !CT /MRI | ||
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|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;" |Hemorrhagic stroke | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Hemorrhagic stroke | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" | Subdural hemorrhage | |style="background: #DCDCDC; padding: 5px; text-align: center;" | Subdural hemorrhage | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Neurosyphilis<ref name="pmid22482824">{{cite journal| author=Liu LL, Zheng WH, Tong ML, Liu GL, Zhang HL, Fu ZG et al.| title=Ischemic stroke as a primary symptom of neurosyphilis among HIV-negative emergency patients. | journal=J Neurol Sci | year= 2012 | volume= 317 | issue= 1-2 | pages= 35-9 | pmid=22482824 | doi=10.1016/j.jns.2012.03.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22482824 }} </ref><ref name="pmid24365430">{{cite journal |vauthors=Berger JR, Dean D |title=Neurosyphilis |journal=Handb Clin Neurol |volume=121 |issue= |pages=1461–72 |year=2014 |pmid=24365430 |doi=10.1016/B978-0-7020-4088-7.00098-5 |url=}}</ref> | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Neurosyphilis<ref name="pmid22482824">{{cite journal| author=Liu LL, Zheng WH, Tong ML, Liu GL, Zhang HL, Fu ZG et al.| title=Ischemic stroke as a primary symptom of neurosyphilis among HIV-negative emergency patients. | journal=J Neurol Sci | year= 2012 | volume= 317 | issue= 1-2 | pages= 35-9 | pmid=22482824 | doi=10.1016/j.jns.2012.03.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22482824 }} </ref><ref name="pmid24365430">{{cite journal |vauthors=Berger JR, Dean D |title=Neurosyphilis |journal=Handb Clin Neurol |volume=121 |issue= |pages=1461–72 |year=2014 |pmid=24365430 |doi=10.1016/B978-0-7020-4088-7.00098-5 |url=}}</ref> | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Complex or atypical migraine | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Complex or atypical migraine | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Conversion disorder | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Conversion disorder | ||
|style="background: #F5F5F5; padding: 5px;" |↓ | |style="background: #F5F5F5; padding: 5px;" |↓ | ||
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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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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Meningitis or encephalitis | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Meningitis or encephalitis | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Multiple sclerosis exacerbation | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Multiple sclerosis exacerbation | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Seizure | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Seizure | ||
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|style="background: #DCDCDC; padding: 5px; text-align: center;" |Hypoglycemia or hyperglycemia | |style="background: #DCDCDC; padding: 5px; text-align: center;" |Hypoglycemia or hyperglycemia | ||
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Revision as of 02:21, 9 November 2016
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Ischemic Stroke Microchapters |
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Ischemic stroke differential diagnosis On the Web |
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Risk calculators and risk factors for Ischemic stroke differential diagnosis |
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[2][3] | + | + | + | + | + | + | Trauma/fall | |||||
| Neurosyphilis[4][5] | + | CSF VDRL-specifc
CSF FTA-Ab -sensitive[6] |
+ | + | + | + | + | 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 [7] | + | + | + | + | 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.