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PubMed · 15976833

[Stroke: when the diagnosis is wrong].

Ole Morten Rønning·Bente Thommessen
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Abstract

BACKGROUND: There is a lack of knowledge of stroke symptoms in the population and among health professionals. Many non-cerebrovascular diseases present with a strokelike clinical picture. The present study focuses on non-cerebrovascular conditions that were referred to a neurological acute stroke unit as strokes. METHODS: In an observational study, 354 consecutive patients who presented to the stroke unit with a diagnosis of stroke were evaluated. Patients were assessed by neurologists and classified as non-stroke patients or true stroke patients. RESULTS: Eighty-eight were non-stroke patients (25%), who were younger than the true strokes (65.5 vs 71.5). Clinical features were falls (23%), sensory impairment (19%), vertigo (13%), loss of consciousness (11%) and confusion (9%). Half of the non-stroke diagnoses were either migraine, infection, postural vertigo or sequelae after a previous stroke. In 25% another neurological disease was present, such as epilepsy, cranial nerve disorder, neuropathy, transient global amnesia or demyelinating disease. There were 6 patients with previous stroke among the 11 non-stroke patients who had a final diagnosis of infection. DISCUSSION: Misdiagnosis of stroke is common among non-neurologists. Non-stroke patients often have another neurological disease. All stroke patients should be seen by a neurologist in the early phase.

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AdultAgedCerebrovascular DisordersDiagnosis, DifferentialDiagnostic ErrorsFemaleHumansMaleMiddle AgedNervous System DiseasesStrokeEnglish AbstractJournal Article

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Ole Morten Rønning, Bente Thommessen. 2005-06-16. [Stroke: when the diagnosis is wrong].. https://pubmed.ncbi.nlm.nih.gov/15976833/

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