Ischaemic stroke: differential diagnosis

Evidence-based neurology checklist on ischaemic stroke: differential diagnosis: Central neurological differentials Acute confusional state Alzheimer's disease (AD) Brachial artery embolism Cataplexy Contrast-induced encephalopathy Dementia Encephalitis Extradural or subdural haemorrhage Functional…

Central neurological differentials

  • Acute confusional state
  • Alzheimer's disease (AD)
  • Brachial artery embolism
  • Cataplexy
  • Contrast-induced encephalopathy
  • Dementia
  • Encephalitis
  • Extradural or subdural haemorrhage
  • Functional disorders
  • Hemimeningitis
  • Lyme neuroborreliosis
  • Migraine
  • Multiple sclerosis (MS)
  • Myelopathy
  • Parkinson's disease (PD)
  • Primary progressive aphasia (PPA)
  • Progressive supranuclear palsy (PSP)
  • Re-expression of previous stroke symptoms
  • Seizures
  • Transient global amnesia (TGA)
  • Wernicke's encephalopathy

Peripheral neurological differentials

Systemic differentials

Radiological differentials

References

  1. Nor AM, Ford GA. Misdiagnosis of stroke. Expert Rev Neurotherapeutics 2007; 7:989-1001.
  2. Hankey GJ, Blacker DJ. Is it a stroke? BMJ 2015; 350:h56.
  3. Hand PJ, Kwan J, Lindley RI, Dennis MS, Wardlaw JM. Distinguishing between stroke and mimic at the bedside: the brain attack study. Stroke 2006; 37:769-775.
  4. Holmstedt C, Chimowitz M. E-pearl: brachial artery embolus mimicking acute stroke. Neurology 2011; 76:e86-e87.
  5. Antelmi E, Pizza F, Vandi S, Plazzi G. Stereotyped episodes of aphasia and immobility: how cataplexy mimics stroke in an elderly patient. Sleep Med 2017; 36:122-124. 
  6. And 7 more. Subscribe to see the full list

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