Wareing William, Dhotore Bhagyashree, Mahawish Karim
Care of the Elderly, Warrington Hospital, Warrington, UK.
BMJ Case Rep. 2015 Jan 23;2015:bcr2014207397. doi: 10.1136/bcr-2014-207397.
We present a case of a 74-year-old man who was admitted to our stroke unit with symptoms and signs suggestive of a left total anterior circulation stroke. Subsequent MRI failed to support this diagnosis and, furthermore, correction of an incidental finding of hyponatraemia due to syndrome of inappropriate antidiuretic hormone secretion led to a complete recovery of symptoms. Investigation and subsequent exclusion of other potential differential diagnoses confirmed the diagnosis of hyponatraemia mimicking acute stroke.
我们报告一例74岁男性患者，因出现提示左侧完全性前循环卒中的症状和体征而入住我们的卒中单元。随后的磁共振成像（MRI）未能支持这一诊断，此外，因抗利尿激素分泌不当综合征导致的低钠血症这一偶然发现得到纠正后，症状完全缓解。对其他潜在鉴别诊断进行检查并随后排除后，确诊为低钠血症酷似急性卒中。
