Farid Hassan A, Naqvi Aaizza
Neurology, St George's University of London, London, GBR.
Neurology, Sheffield Teaching Hospitals, Sheffield, GBR.
Cureus. 2024 May 5;16(5):e59700. doi: 10.7759/cureus.59700. eCollection 2024 May.
Stroke and migraine are common neurological illnesses that cause tremendous suffering for patients. Certain diseases can mimic the clinical manifestations of an actual stroke. Migraine is one of the most commonly reported stroke mimics. The main goals of this study are to look at the prevalence of stroke mimics on the stroke pathway of Sheffield Teaching Hospitals and how many of them are migraines.
A retrospective service evaluation was conducted at the hyperacute stroke unit (HASU) of the Royal Hallamshire Hospital (RHH) in the United Kingdom. The total admissions from 2013 to 2022 were collected from the Sentinel Stroke National Audit Programme database, and the number of stroke mimics was evaluated each year. The burden of migraine stroke mimics was also evaluated. Then, a one-year sample of stroke mimics was extracted to look for the types of each mimic.
From 2013 to 2022, 45.75% (n = 12156) of the stroke pathway patients (n = 26573) were stroke mimics, with an increment of up to 55% in the years 2021 and 2022. During these 10 years, migraine stroke mimics accounted for 10.21% of admissions (n = 1240). The three most common mimics in a one-year sample of stroke pathway patients were migraine (14.70%) (n = 373), functional neurological disorders (FNDs) (7.17%) (n = 182), and Guillain-Barré syndrome (6.66%) (n = 169). Seizures, syncope, and metabolic derangements were reported as mimics in 4.17% (n = 106), 3.14% (n = 80), and 1.77% (n = 45), respectively.
About half of the HASU attendees were stroke mimics rather than actual strokes, and the most common mimics were migraines.
中风和偏头痛是常见的神经系统疾病，给患者带来巨大痛苦。某些疾病可模仿实际中风的临床表现。偏头痛是最常被报告的模仿中风疾病之一。本研究的主要目的是观察谢菲尔德教学医院中风诊疗路径中模仿中风疾病的患病率，以及其中偏头痛的数量。
在英国皇家哈勒姆郡医院（RHH）的超急性中风单元（HASU）进行了一项回顾性服务评估。从哨兵中风国家审计计划数据库收集2013年至2022年的总入院人数，并每年评估模仿中风疾病的数量。还评估了偏头痛模仿中风疾病的负担情况。然后，抽取一年的模仿中风疾病样本，以查找每种模仿疾病的类型。
2013年至2022年，中风诊疗路径患者（n = 26573）中有45.75%（n = 12156）为模仿中风疾病，在2021年和2022年增幅高达55%。在这10年中，偏头痛模仿中风疾病占入院人数的10.21%（n = 1240）。中风诊疗路径患者一年样本中最常见的三种模仿疾病是偏头痛（14.70%）（n = 373）、功能性神经障碍（FNDs）（7.17%）（n = 182）和吉兰 - 巴雷综合征（6.66%）（n = 169）。癫痫发作、晕厥和代谢紊乱被报告为模仿疾病的比例分别为4.17%（n = 106）、3.14%（n = 80）和1.77%（n = 45）。
超急性中风单元的就诊者中约有一半是模仿中风疾病而非实际中风，最常见的模仿疾病是偏头痛。
