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Ultima descărcare din IBN: 2023-09-18 00:19 |
SM ISO690:2012 GASNAŞ, Alexandru, GROPPA, Stanislav. Current view on the atypical causes of stroke - mimics and chameleons. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 223. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 223-223 | ||||||
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Background. Around 30% of suspected stroke cases will have eventually another diagnosis. This is due to complexity of the clinical presentation ”chameleons” and similitude with other etiologies ”mimics”. The various techniques used nowadays to evaluate stroke patients, increase the risk of ”incidentalomas”. Objective of the study. To focuse on the most common scenarios in which stroke mimics and chameleons are encountered, in order to be easily recognized in time-limited therapeutic window conditions. Material and Methods. A narrative review was intended, based on the key-words relevant to the study. We searched form ”stroke chameleon”, ”stroke mimic”, ”incidentaloma” and ”stroke” using PubMed and Google Scholar databases. A study that matched at least 2 of the key words was included in the review. Results. Sometimes, a stroke can develop without being immediately recognized. A stroke mimic can also be difficult to identify, and this usually leads to unnecessary treatment and imaging. The main challenge with chameleons is different, that they are not identified early enough, and they are not properly treated. One major differentiator is that within stroke, symptoms are often negative or absent, but with mimics and chameleons, patients experience positive or new symptoms, with or without the negative symptoms of stroke. This article presents step by step procedures for differential diagnosis and specify the contributory role of imaging in avoiding diagnostic mistakes. Conclusion. Ischemic stroke is a common and treatable medical condition. Stroke recognition tools are designed to fast-track patients through emergency departments, but do not replace clinical acumen. |
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Cuvinte-cheie stroke chameleon, stroke mimic, incidentaloma, stroke, accident vascular cerebral, cameleon, mimic, incidentalom |
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