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* |