TABLE 1

Stroke mimics

The initial evaluation of stroke should include consideration of stroke mimics. Common metabolic derangements may unmask areas of previous ischemic cerebral injury, as well as potentiate seizures. Conditions most commonly encountered are marked with an asterisk.
Neurologic
Seizure with or without Todd paralysis (postseizure focal weakness)*
Complicated migraine*
Bell palsy*
Brain tumor
Brain abscess
Encephalitis
Spinal cord injury
Intracerebral hemorrhage
Metabolic
Hypoglycemia*
Systemic infection*
Hyperglycemia
Hyponatremia
Hypernatremia
Hyperammonemia
Uremia
Vascular
Arteriovenous malformation
Dural arteriovenous fistula
Intracranial aneurysm
Traumatic
Subdural hematoma
Epidural hematoma
Toxic
Medication or drug overdose*