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急诊科脑缺血的临床鉴别与患者分诊:模仿者、唤醒型卒中、迟发性卒中和变色龙样卒中

Clinical Distinction of Cerebral Ischemia and Triaging of Patients in the Emergency Department: Mimics, Wake-ups, Late Strokes, and Chameleons.

作者信息

Hextrum Shannon, Biller José

机构信息

Department of Neurology, Loyola University Medical Center, 2160 South First Avenue, Building 105, Room 2700, Maywood, IL 60153, USA.

Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Loyola University Medical Center, 2160 South First Avenue, Building 105, Room 2700, Maywood, IL 60153, USA.

出版信息

Neuroimaging Clin N Am. 2018 Nov;28(4):537-549. doi: 10.1016/j.nic.2018.06.001.

Abstract

Non-stroke conditions may present in ways suggestive of ischemic stroke (ie, stroke mimic). Alternatively, the clinical presentation of ischemic stroke can vary considerably and may appear similar to another condition (ie, stroke chameleon). Common and uncommon mimics and chameleons are presented with discussion of key considerations to improve diagnostic accuracy.

摘要

非卒中情况可能以提示缺血性卒中的方式出现(即,类卒中)。或者,缺血性卒中的临床表现可能有很大差异,并且可能类似于另一种情况(即,变色龙样卒中)。本文介绍了常见和不常见的类卒中和变色龙样卒中情况,并讨论提高诊断准确性的关键注意事项。

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