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Sunday, March 8, 2015

Apoplejías: presentaciones inusuales

emDocs
emDocs - March 5, 2015 - By Jeffrey Conley. 
EM Resident Physician, Albany Medical Center
Edited by Alex Koyfman MD and Stephen Alerhand MD
"Review of the main points to consider for the various presentations of stroke in the ED.

Subarachnoid Hemorrhage (SAH)
– 8-20% of patients misdiagnosed on initial visit

Ischemic stroke
Uncommon stroke presentations
  • Pure sensory deficit
  • Pure visual loss
  • Acute onset confusion, agitation, and delirium
  • Dizzy (vertigo) / dysmetria
  • Locked-in syndrome
Stroke mimics:
  • Todd’s paralysis
    • Focal neurologic deficits presenting after seizure activity
    • Resolves in minutes to hours (most in < 48 hours)
  • Toxicology
  • Complex migraine
  • Hypoglycemia
  • Bell’s Palsy
  • Conversion disorder"
http://www.emdocs.net/unusual-stroke-presentations/