The Neurotransmitters: Stroke Mimics and Chameleons

Listen here to The Neurotransmitters: A Clinical Neurology Podcast about everything neurology! Join Dr. Michael Kentris to learn more about common clinical scenarios, the newest studies, challenging clinical cases, and more. Dr. Kentris can be found on Twitter @DrKentris or by email at theneurotransmitterspodcast@gmail.com.

Originally released: October 17, 2022

Today we talk about a common issue in hospital neurology. Is it a stroke? There are many things that can mimic a stroke, and vice versa. These stroke "chameleons" can be diagnostically challenging, so it's important to remain alert for signs and symptoms that don't fit the script!

References:

Dupre CM, Libman R, Dupre SI, Katz JM, Rybinnik I, Kwiatkowski T. Stroke chameleons. J Stroke Cerebrovasc Dis 2014;23(2):374-8. PMID 23954604

H Buck B, Akhtar N, Alrohimi A, Khan K, Shuaib A. Stroke mimics: incidence, aetiology, clinical features and treatment. Ann Med 2021;53(1):420-36. PMID 33678099

Hand PJ, Kwan J, Lindley RI, Dennis MS, Wardlaw JM. Distinguishing between stroke and mimic at the bedside: the brain attack study. Stroke 2006;37(3):769-75. PMID 16484610

Richoz B, Hugli O, Dami F, Carron PN, Faouzi M, Michel P. Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Neurology 2015;85(6):505-11. PMID 26180146

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