1. Clinical characteristics and management of functional neurological disorders (FND) mimicking stroke in emergency settings: a functional stroke mimic cases
- Author
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Paola Caruso, Yvonne Radin, Laura Mancinelli, Magda Quagliotto, Tiziana Lombardo, Stefania Pavan, Mauro Catalan, Andrea Clarici, Matteo Bulfon, Alberto Benussi, and Paolo Manganotti
- Subjects
stroke mimic ,functional neurological disorders ,thrombolysis ,emergency department ,motor disorder ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
BackgroundFNDs mimicking a stroke represent a growing challenge in the emergency department (ED). A comprehensive diagnostic approach involving clinical evaluation and neuroimaging is essential to differentiate stroke from mimics. The safety profile of thrombolysis justifies its use where FNDs cannot be ruled out. This approach highlights the need for more precise diagnostic tools and protocols to improve patient care and reduce unnecessary treatments. Distinguishing FNDs from actual cerebrovascular events is critical yet difficult, particularly under time constraints. Given the urgency and potential severity of strokes, intravenous thrombolysis is frequently administered even when FNDs cannot be definitively excluded.MethodsThis retrospective study analyzed data of participants admitted to the Trieste University Hospital Stroke Unit between January 2018 and December 2022, focusing on those presenting with sudden-onset focal neurological deficits mimicking a stroke, with some presenting within the reperfusion treatment window (
- Published
- 2024
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