This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Richard B. Libman, MD; Elzbieta Wirkowski, MD
Department of Neurology Lakeville Rd Long Island Jewish Medical Center New Hyde Park, NY 11040

Arch Neurol. 1996;53(5):404.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In reply

We thank Dr Benbadis for his interest in our study¹ on conditions that mimic stroke in the emergency department. In our article, focal deficits may or may not have been present at the time the diagnosis of stroke was made, but would then have been suggested by the history. In these cases, if an attending neurologist's or emergency physician's note documented stroke as the leading diagnosis, then the patient was included in the study. An example might be the case of a patient with angina or even myocardial infarction in whom the primary symptom was numbness affecting the left arm and perhaps jaw, with chest pain being less significant or even absent. Four such cases mimicked stroke in our study. In addition, miscellaneous metabolic disturbances can cause focal symptoms or signs² and even isolated vertigo is not always easily characterized as peripheral as opposed to central. . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?