8Ĭontinuous variables were expressed by the mean ± standard deviation and categorical variables as frequency (%). The diagnosis and classification of headache was based on the recent International Classification of Headache Disorder (ICHD-3), and the auras in patients with migraine were classified as visual, sensory, speech and/or language, motor, brainstem, and retinal auras, according to the ICHD classification. The detailed methods of acute stroke management protocol and multimodal CT protocol were described previously. However, a few patients underwent DWI MRI without other stroke MRI protocols to exclude the presence of cerebral ischemia depending on the attending physicians’ discretion. Acute stroke-dedicated MRI protocols including diffusion-weighted imaging (DWI) were usually performed in patients after the administration of intravenous thrombolysis and during the preparation of endovascular treatment. Thrombolysis was performed according to acute stroke management protocol modified from the Korean stroke guideline. In our acute stroke management protocol, a patient with symptoms suggestive of acute stroke was initially evaluated with rapid neurological examination, electrocardiogram (ECG), blood sampling, and emergency multimodal brain CT including brain nonenhancement CT and CT angiography with CT perfusion images. Between January 2008 and August 2017, all consecutive patients visiting emergency department with a sudden onset of focal neurological deficit in a time window of less than 6 h, as indicated for thrombolysis, were included in the present study. We conducted a retrospective study of patients identified in our prospective stroke and neuroradiology registry. We also studied the frequency of incidental atrial fibrillation and asymptomatic ischemic stroke in these patients.
The objective of the present study was to determine the frequency and characteristics of migraine with aura in patients who initially presented with stroke-like symptoms. Reference Androulakis, Kodumuri and Giamberardino5, Reference Sen, Androulakis and Duda6 Migraine with aura can also be found as a stroke mimic during acute stroke management Reference Terrin, Toldo, Ermani, Mainardi and Maggioni7 however, only a few studies investigated the frequency and characteristics of migraine with aura in patients who initially presented with stroke-like symptoms. Reference Gryglas and Smigiel4 The increased incidence of atrial fibrillation and cardioembolism in patients diagnosed with migraine with aura was linked to acute stroke. Migraine with aura is a well-documented risk factor of acute stroke. Reference Quenardelle, Lauer-Ober and Zinchenko1, Reference Kim, Kim, Kim, Roh and Park2 These heterogeneous disorders, presenting with acute onset of focal neurological deficits, which were later associated with nonvascular etiologies, are often termed as stroke mimics, which constitute approximately 20% of patients admitted with a suspicion of acute stroke. Not for children under 3 years.The short window from symptom onset to initiation of thrombolysis in acute stroke patients only allows quick history taking and neurological examination, making it difficult to differentiate acute stroke from other disorders that simulate acute stroke, including seizures, metabolic disorders, migraine with aura, and psychiatric problems. They are not magnets.Īge Recommendation: Ages 6 and up -WARNING: CHOKING HAZARD-Toycontains a marble. Cubes and Stunts are made from phthalate-free and BPA-free ABS plastic.
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