Stroke masks – a case report
DOI:
https://doi.org/10.15584/ejcem.2020.3.15Keywords:
brain metabolic disorders, MRI, strokeAbstract
Introduction. Stroke is a common vascular disease encountered in the work of a practitioner. Despite this, his differentiation is difficult. This is due to a variety of diseases that can be a “mask” for stroke. These are neurological diseases other than vascular (brain tumors, epilepsy), head injuries and a number of metabolic disorders (fluctuations in glucose, electrolytes).
Aim. This work aims to approximate the differentiation of this common disease entity. Case reports show both clinical view and diagnostic difficulties.
Description of the cases.
Case 1. The patient 59 years old treated for bipolar disorder, hypertension and alcohol abuse.
Case 2. The patient 68 years old treated for type 2 diabetes, hypertension, ischemic heart disease, cholecystolithiasis – cholecystectomy.
Conclusion. Stroke is a significant clinical and social problem both in Poland and in the world. Despite this, its diagnostics and especially differentiation is difficult. When analyzing the case of each patient with suspected sudden CNS vascular disease, all of them should be remembered. It should also be borne in mind that differential diagnosis cannot delay specific treatment for stroke.
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References
Sheikh K, Brennan PJ, Meade TW, Smith DS, Goldenberg E. Predictors of mortality and disability in stroke. J Epidemiol Community Health. 1983;37(1):70-74.
Kojima S, Omura T, Wakamatsu W, et al. Prognosis and disability of stroke patients after 5 years in Akita, Japan. Stroke. 1990;21(1):72-77.
Censori B, Camerlingo M, Casto L, et al. Prognostic factors in first-ever stroke in the carotid artery territory seen within 6 hours after onset. Stroke. 1993;24(4):532-535.
Hénon H, Godefroy O, Leys D, et al. Early predictors of death and disability after acute cerebral ischemic event. Stroke. 1995;26(3):392-398.
Multicenter Acute Stroke Trial-Europe Study Group, Hommel M, Cornu C, Boutitie F, Boissel JP. Thrombolytic therapy with streptokinase in acute ischemic stroke. N Engl J Med. 1996;335(3):145-150.
Denti L, Scoditti U, Tonelli C, et al. The poor outcome of ischemic stroke in very old people: a cohort study of its determinants. J Am Geriatr Soc. 2010;58(1):12-17.
Soleman S, Yip P, Leasure JL, Moon L. Sustained sensorimotor impairments after endothelin-1 induced focal cerebral ischemia (stroke) in aged rats. Exp Neurol. 2010 ;222(1):13-24.
Liou LM, Chen CF, Guo YC, et al. Cerebral white matter hyperintensities predict functional stroke outcome. Cerebrovasc Dis. 2010;29(1):22-25.
Poli L, De Giuli V, Piazza F, et al. A challenging diagnosis of reversible "vascular" dementia: Cerebral amyloid angiopathy-related inflammation. J Neuroimmunol. 2020;338:577109.
Jurkiewicz MT, Vossough A, Pollock AN. An Important Pediatric Stroke Mimic: Hemiplegic Migraine. Can J Neurol Sci. 2020:47(2):235-236.
Li D, Zhao Q, Zhang C, Huang X, Godfrey O, Zhang W. Associations of MTRR A66G polymorphism and promoter methylation with ischemic stroke in patients with hyperhomocysteinemia. J Gene Med. 2020;22(5):e3170.
Black DF, Kung S, Sola CL, Bostwick MJ, Swanson JW. Familial hemiplegic migraine, neuropsychiatric symptoms, and Erdheim-Chester disease. Headache. 2004;44(9):911-915.
Vidmar J, Bajd F, Milosevic ZV, Kocijancic IJ, Jeromel M, Sersa I. Retrieved cerebral thrombi studied by T2 and ADC mapping: preliminary results. Radiol Oncol. 2019;53(4):427-433.
Kitamura T, Maury P, Lam A, et al. Does Ventricular Tachycardia Ablation Targeting Local Abnormal Ventricular Activity Elimination Reduce Ventricular Fibrillation Incidence? Circ Arrhythm Electrophysiol. 2019;12(12):e006857.
Karim N, Ho SY, Nicol E, et al. The left atrial appendage in humans: structure, physiology, and pathogenesis. Europace. 2020;22(1):5-18.
Ray S, Chakravarty K, Kathuria H, Lal V. Errors in the Diagnosis of Stroke-Tales of Common Stroke Mimics and Strokes in Hiding. Ann Indian Acad Neurol. 2019;22(4):477-481.
Li Y, Li X, Zhang Y, et al. Impact of glycemic control status on patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention. BMC Cardiovasc Disord. 2020;20(1):36.
Leone G, Nappini S, Wlderk A, et al. Resolution of Anton-Babinski syndrome after systemic thrombolysis and mechanical thrombectomy with a stentriever. J Clin Neurosci. 2018;48:111-114.
Dafkin C, Green A, Kerr S, et al. Kinematic and kinetic analysis of the inter- and intra-applicator assessment of the Babinski reflex. Neurophysiol Clin. 2014;44(5):471-477.
Hartcher-O'Brien J, Auvray M. Cognition overrides orientation dependence in tactile viewpoint selection. Brain Res. 2016;234(7):1885-1892.
Rousseaux M, Honoré J, Vuilleumier P, Saj A. Neuroanatomy of space, body, and posture perception in patients with right hemisphere stroke. Neurology. 2013;81(15):1291-1297.
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