میمیکس سکته مغزی و تجربه یک بخش سکته مغزی مراکشی
ترجمه نشده

میمیکس سکته مغزی و تجربه یک بخش سکته مغزی مراکشی

عنوان فارسی مقاله: میمیکس سکته مغزی: تجربه یک بخش سکته مغزی مراکشی
عنوان انگلیسی مقاله: Stroke Mimics: Experience of a Moroccan Stroke Unit
مجله/کنفرانس: مجله سکته مغزی و بیماریهای مغزی-رگی - Journal Of Stroke And Cerebrovascular Diseases
رشته های تحصیلی مرتبط: پزشکی
گرایش های تحصیلی مرتبط: مغز و اعصاب
کلمات کلیدی فارسی: فرکانس، سکته مغزی،میمیک سکته مغزی، هشدار ترومبولیز
کلمات کلیدی انگلیسی: Frequency، brain stroke، stroke mimic، thrombolysis alert
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: Scopus - Master Journals List - JCR - MedLine
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104651
دانشگاه: Department of Neurology, Hassan II University Teaching Hospital, Fez, Morocco
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2020
ایمپکت فاکتور: 1/702 در سال 2019
شاخص H_index: 50 در سال 2020
شاخص SJR: 0/775 در سال 2019
شناسه ISSN: 1052-3057
شاخص Quartile (چارک): Q2 در سال 2019
فرمت مقاله انگلیسی: PDF
تعداد صفحات مقاله انگلیسی: 5
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: ندارد
کد محصول: E14679
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست انگلیسی مطالب

Abstract


Introduction


Materials and Methods


Results


Discussion


Conclusions


References

نمونه متن انگلیسی مقاله

Abstract


Background: Stroke mimic is a medical condition presenting with acute neurological deficit and simulate real stroke. The objective of this study was to evaluate the frequency and the various etiologies of stroke mimics in our center. Methods: We retrospectively reviewed the Thrombolysis Alert registry and we studied the frequency and characteristics of patients with stroke mimic. Results: Among 673 patients who were admitted to the emergency department within 4.5 hours for sudden focal neurological deficit suggestive of acute stroke, 105 patients (15.6 %) had a stroke mimic. The mean age of patients with mimics and brain strokes were 66.3 and 64.8, respectively. The mean Onset-to-door time was 136.82 minutes and the mean door-to-imaging time was 32.63 minutes in stroke mimics. Seizure (28.5%) was the most common diagnosis of stroke mimics followed by conversion disorder (25.7%). Conclusions: Stroke mimic is frequent and heterogeneous entity that can be difficult to identify. Fortunately, most previous studies show no harmful effects when using thrombolysis in a stroke mimic.


Introduction


Brain Stroke is a major cause of mortality and morbidity. In Morocco, the prevalence rate of stroke in all agesis estimated at 292 per 100,000. The management of ischemic stroke has seen major advances with intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT). IVT has been the standard treatment for acute ischemic stroke (AIS) patients within 4.5 hours of symptom onset. Thrombolysis with tissue plasminogen activator is the first effective approved therapy for potentially disabling AIS. Recently there is more evidence suggesting that other thrombolytics such as tenecteplase may be even more effective. EVT is another effective therapy; it reduces the risk of death or dependency in patients with large vessel occlusion if applied within 6 hours. The recently published DAWN and DEFUSE 3 trials have shown that EVT is also beneficial 6-24 hours after the onset of symptoms in selected patients with favorable imaging brain. The diagnosis of acute ischemic stroke is usually easy by carrying out physical evaluation and studying images of the brain, however several disorders, manifested by an acute neurological deficit can mimic AIS. Stroke mimic term is applied in a clinical evaluation, describing those nonvascular conditions that simulate stroke, namely those presenting with sudden neurological deficit that resembles a stroke but is not related to a vascular cause. Stroke mimics are a major diagnostic challenge. The aim of this study is to evaluate the relative frequency and the various etiologies of stroke mimics in patients with clinical signs of stroke admitted in our emergency room for “Thrombolysis Alert.”

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