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Cuadernos Hospital de Clínicas

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VIRUEZ-SOTO, J A; RADA-BARRERA, G; VERA-CARRASCO, O  and  PARANHOS, Jorge. Stroke mimics and chameleons, have them always on mind. Cuad. - Hosp. Clín. [online]. 2018, vol.59, n.Especial, pp.46-50. ISSN 1562-6776.

ABSTRACT INTRODUCTION: Stroke mimics (false positives, over diagnosed) and stroke chameleons (false negative, underdiagnosed) are special cases that induce to commit mistakes on stroke diagnoses and treatment. They have to be considered to approximate an adequate treatment. The objective is report the case of a patient with stroke mimic, fortunately identified and treated with favorable evolution. CASE REPORT: Female 17 year-old patient, from El Alto city, without pathologic antecedents with 8 hours clinical manifestations with consciousness impairment and tonic-clonic seizures, neuroprotection is performed such as neurocritical care, thrombolysis is considered, but after an adequate diagnostic disquisition is avoided, the diagnoses ofepilepsy is achieved and treatment is performed. DISCUSSION: Several important data are reviewed, such as the earlyage, lack of seizures antecedent, nevertheless thrombolysis is considered, throughout a careful literature review, epilepsy treatment is performed, avoiding intracraneal bleeding complications.

Keywords : Neurointensive care; stroke; mimics; chameleons.

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