Friday, 20 January 2012

Stroke mimics

Case presentation and discussion of stroke mimics at the lunchtime meeting. Can't remember the exact details of the case but it was someone presenting with acute ischaemic stroke being considered from thrombolysis - the learning point was "but what about those conditions that may present as stroke but are not?"

There was a nice presentation about the different presentations and how they may be differentiated clinically.

This is an important issue. [1-3]

Found a good summary lecture online - Stroke Differential Diagnosis - Mimics and Chameleons.

1. Förster A, Griebe M, Wolf ME, Szabo K, Hennerici MG, Kern R. How to identify stroke mimics in patients eligible for intravenous thrombolysis?. Journal of Neurology 2012 Jan; Available from:
2. Winkler DT, Fluri F, Fuhr P, Wetzel SG, Lyrer PA, Ruegg S, Engelter ST. Thrombolysis in stroke mimics: frequency, clinical characteristics, and outcome. Stroke 2009 Apr;40(4):1522-1525. Available from:
3. Artto V, Putaala J, Strbian D, Meretoja A, Piironen K, Liebkind R, Silvennoinen H, Atula S, Häppölä O. Stroke mimics and intravenous thrombolysis. Ann Emerg Med 2012 Jan;59(1):27-32. Available from:

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