摘要: Among 821 consecutive patients admitted to an acute stroke unit, the initial diagnosis of proved incorrect in 108 (13%). The commonest causes misdiagnosis were unwitnessed or unrecognised seizures (39%) and confusional states syncope (24%), conditions that can be diagnosed only clinically. In a series 93 cases examined post mortem, diagnostic accuracy for varied with clinical skill ranged from 38% 89%. frequency (but not type) was same 244 investigated computerised tomographic (CT) scanning as 345 without it. Although CT other neurological investigations are useful aids stroke, they remain supplement to, substitute for, correct evaluation.
sci-hub.se 参考文章(9)
Leon A. Weisberg, Charles N. Nice, Intracranial tumors simulating the presentation of cerebrovascular syndromes The American Journal of Medicine. ,vol. 63, pp. 517- 524 ,(1977) , 10.1016/0002-9343(77)90196-6
John F. Kurtzke, Epidemiology of Cerebrovascular Disease ,(1969)
Herbert L. Abrams, Barbara J. McNeil, Medical Implications of Computed Tomography (Cat Scanning) The New England Journal of Medicine. ,vol. 298, pp. 255- 261 ,(1978) , 10.1056/NEJM197802092980605
Sigmund N. Groch, INTRACRANIAL LESIONS SIMULATING CEREBRAL THROMBOSIS Journal of the American Medical Association. ,vol. 172, pp. 1469- 1472 ,(1960) , 10.1001/JAMA.1960.03020140005002
J W Norris, V C Hachinski, Intensive care management of stroke patients. Stroke. ,vol. 7, pp. 573- 577 ,(1976) , 10.1161/01.STR.7.6.573
J.W.D. Bull, John Marshall, D.A. Shaw, Cerebral angiography in the diagnosis of the acute stroke. The Lancet. ,vol. 275, pp. 562- 565 ,(1960) , 10.1016/S0140-6736(60)92774-4
Folks J. Brahme, CT diagnosis of cerebrovascular disorders--a review. Computerized Tomography. ,vol. 2, pp. 173- 181 ,(1978) , 10.1016/0363-8235(78)90040-6
INGRAVESCENT CEREBRAL INFARCTION QJM: An International Journal of Medicine. ,vol. 29, pp. 611- 625 ,(1960) , 10.1093/OXFORDJOURNALS.QJMED.A066895
Herbert L. Abrams, Barbara J. McNeil, Medical implications of computed tomography ("CAT scanning") (second of two parts). The New England Journal of Medicine. ,vol. 298, pp. 255- 261 ,(1978) , 10.1056/NEJM197802022980506