Beata Chmielewska
Natalia Leksa
David Aebisher
Sabina Galiniak
Dawid Leksa
Seweryn Bartosz
Dorota Bartusik-Aebisher
Stroke masks – a case report
Beata Chmielewska
Natalia Leksa
David Aebisher
Sabina Galiniak
Dawid Leksa
Seweryn Bartosz
Dorota Bartusik-Aebisher
Department of Neurology, MSWiA Hospital, Rzeszów, Poland
Institute of Medical Sciences, Medical College, University of Rzeszow, Rzeszow, Poland
Department of Photomedicine and Physical Chemistry, Medical College of Rzeszów University, Rzeszów, Poland
Department of Biochemistry and General Chemistry Medical College of Rzeszów University, Rzeszów, Poland
Rzeszów Center for Vascular and Endovascular Surgery, Rzeszow, Poland
Department of Neurology, MSWiA Hospital, Rzeszów, Poland
Department of Biochemistry and General Chemistry, Medical College of the University of Rzeszow, University of Rzeszow, Rzeszow, Poland
Received: 15 March 2020 / Accepted: 18 April 2020 / Published: 30 September 2020
Abstract
Introduction. Stroke is a common vascular disease encountered in the work of a practitioner. Despite this, his differentiation is difficult. This is due to a variety of diseases that can be a “mask” for stroke. These are neurological diseases other than vascular (brain tumors, epilepsy), head injuries and a number of metabolic disorders (fluctuations in glucose, electrolytes).
Aim. This work aims to approximate the differentiation of this common disease entity. Case reports show both clinical view and diagnostic difficulties.
Description of the cases.
Case 1. The patient 59 years old treated for bipolar disorder, hypertension and alcohol abuse.
Case 2. The patient 68 years old treated for type 2 diabetes, hypertension, ischemic heart disease, cholecystolithiasis – cholecystectomy.
Conclusion. Stroke is a significant clinical and social problem both in Poland and in the world. Despite this, its diagnostics and especially differentiation is difficult. When analyzing the case of each patient with suspected sudden CNS vascular disease, all of them should be remembered. It should also be borne in mind that differential diagnosis cannot delay specific treatment for stroke.
Cite
Chmielewska B, Leksa N, Aebisher D, Galiniak S, Leksa D, Bartosz S, Bartusik-Aebisher D. Stroke masks – a case report. Eur J Clin Exp Med. 2020;18(3):245–249. doi: 10.15584/ejcem.2020.3.15
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