Stroke mimic prediction scales for initial hospital stroke dia gnosis

Czech version

Authors: S. Večerková ^1,2; O. Volný ^1,3; R. Ječmínková ^4,5; M. Bar ^1,3; L. Máchová ^1,3
Authors‘ workplace: Centrum klinických neurověd, LF OU, Ostrava ¹; Zdravotnická záchranná služba, Moravskoslezského kraje, p. o. ²; Neurologická klinika FN Ostrava ³; Oddělení centrálního příjmu, FN Ostrava ⁴; Klinika anesteziologie, resuscitace, a intenzivní medicíny, LF OU a FN Ostrava ⁵
Published in: Cesk Slov Neurol N 2024; 87(5): 309-312
Category: Review Article
doi: https://doi.org/10.48095/cccsnn2024309

Overview

The article presents a current and comprehensive review of stroke mimics (SM), which represent a challenge for differential diagnosis due to their wide range of similar symptoms with strokes. It delves into the brief epidemiology, clinical features, and four predictive scales for SM diagnosis, which were identified on the basis of a literature search: TeleStroke Mimic Score (TSM), FABS, simplified FABS (sFABS), and Khan score. These validated tools might support rapid and efficient decision-making regarding treatment in an emergency department setting with the goal of minimizing delays in providing adequate care to patients with stroke. We would like to highlight the importance of correct identification of SM given the time sensitivity of revascularization treatment, with a focus on optimizing treatment and management of patients with acute onset of neurological symptoms.

Keywords:

intravenous thrombolysis – stroke mimics – ischemic strokes

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