Diagnostic challenges of focal neurological deficits during an

Clin Med (Lond) · Mar 2024

Review

Diagnostic challenges of focal neurological deficits during an acute take- is this vascular?: Clinical hints, pearls and pitfalls.

Stroke and TIAs are amongst the common neurological presentations encountered by specialists and non-specialist health care providers. Despite the advances of neuroimaging techniques, clinicians are frequently faced with diagnostic challenges on evaluation of patients with suspected stroke. In this review, we discuss the characteristic features of cerebrovascular diseases and how to identify them. We also aim to provide a resource for non-stroke specialist clinicians to help them to correctly identify the symptoms and signs of disorders that may masquerade as stroke such as migraine, seizure, and functional disorder, and at the same time we explore how we can identify strokes that present atypically.

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- Shadi M Ramadan, Rayessa Rayessa, and Bernard Esisi.
- Hull University Teaching Hospitals NHS Trust, Hull, UK. Electronic address: shadi.ramadan1@nhs.net.
- Clin Med (Lond). 2024 Mar 1; 24 (2): 100037100037.
AbstractStroke and TIAs are amongst the common neurological presentations encountered by specialists and non-specialist health care providers. Despite the advances of neuroimaging techniques, clinicians are frequently faced with diagnostic challenges on evaluation of patients with suspected stroke. In this review, we discuss the characteristic features of cerebrovascular diseases and how to identify them. We also aim to provide a resource for non-stroke specialist clinicians to help them to correctly identify the symptoms and signs of disorders that may masquerade as stroke such as migraine, seizure, and functional disorder, and at the same time we explore how we can identify strokes that present atypically.Crown Copyright © 2024. Published by Elsevier Ltd. All rights reserved.

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Diagnostic challenges of focal neurological deficits during an acute take- is this vascular?: Clinical hints, pearls and pitfalls.

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