Atypical presentations of stroke
In the daily practice of Stroke physicians, there is always the concern about how accurate is the diagnosis and whether the physicians are going to end up thrombolysing non-stroke patients at the end.
Edlow and Salim wrote in the Lancet Neurology issue of June 2011 an interesting article about the atypical presentations of acute cerebravascualr syndromes.
They suggested three strategies which could help to reduce misdiagnosis of stroke.
First, clinicians should suspect stroke in any patient with abrupt onset of neurological symptoms. Second, clinicians should be aware that some patients will initially present with various uncommon and atypical stroke symptoms. Third, a complete and systematic neurological examination should be routinely done in patients presenting with acute neurological symptoms.