Stroke Mimics: Experience of a Moroccan Stroke Unit |
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| Affiliation: | 2. Laboratory of Epidemiology, Clinical Research, and Health Community, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdallah University, Fez, Morocco;2. Departments of Radiology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan;2. Department of Radiology, Teikyo University School of Medicine, Tokyo, Japan;3. Department of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan;2. Division of Women''s Health, Department of Medicine, Brigham and Women''s Hospital and Harvard Medical School, Boston, Massachusetts;3. Department of Neurology, J. Philip Kistler Stroke Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts;2. University Hospital in Krakow, Poland;3. Jagiellonian University Medical College, Department of Radiology, Krakow, Poland;4. Jagiellonian University Medical College, Department of Pharmacology, Krakow, Poland;5. John Paul II Hospital, Krakow, Poland;6. Faculty of Medicine, University of Rzeszow, Poland |
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| Abstract: | Background: Stroke mimic is a medical condition presenting with acute neurological deficit and simulate real stroke. The objective of this study was to evaluate the frequency and the various etiologies of stroke mimics in our center. Methods: We retrospectively reviewed the Thrombolysis Alert registry and we studied the frequency and characteristics of patients with stroke mimic. Results: Among 673 patients who were admitted to the emergency department within 4.5 hours for sudden focal neurological deficit suggestive of acute stroke, 105 patients (15.6 %) had a stroke mimic. The mean age of patients with mimics and brain strokes were 66.3 and 64.8, respectively. The mean Onset-to-door time was 136.82 minutes and the mean door-to-imaging time was 32.63 minutes in stroke mimics. Seizure (28.5%) was the most common diagnosis of stroke mimics followed by conversion disorder (25.7%). Conclusions: Stroke mimic is frequent and heterogeneous entity that can be difficult to identify. Fortunately, most previous studies show no harmful effects when using thrombolysis in a stroke mimic. |
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