Strokes: mimics and chameleons
2013; BMJ; Volume: 13; Issue: 1 Linguagem: Inglês
10.1136/practneurol-2012-000465
ISSN1474-7766
AutoresPeter M. Fernandes, William Whiteley, Simon R. Hart, Rustam Al‐Shahi Salman,
Tópico(s)Cerebrovascular and Carotid Artery Diseases
ResumoDiagnosing stroke is not always straightforward. Stroke mimics such as Todd9s paresis or hemiplegic migraine account for between a fifth and a quarter of suspected strokes (depending on the setting in which they are assessed). Stroke chameleons can arise when the tempo of symptom onset is not apoplectic or if the loss of function is not clearly consistent with a deficit within an arterial territory. Thrombolysis and secondary prevention have much to offer patients with stroke chameleons, though those with stroke mimics may be harmed by these treatments and have more to gain from other therapies.
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