Document Detail

Myasthenia mimicking vertebrobasilar stroke.
MedLine Citation:
PMID:  12420089     Owner:  NLM     Status:  MEDLINE    
The advent of thrombolysis has offered a remarkable opportunity for treatment of acute ischemic stroke. Other therapies involving neuro-protection may be forthcoming. These treatments, however, are not without risk, making accurate diagnosis of stroke all the more important. Several conditions may mimic stroke in the emergency department, with myasthenia being an uncommon stroke mimic. We present two cases of myasthenia presenting as posterior circulation stroke. In one case, the tempo suggested basilar thrombosis. Treatment decisions regarding thrombolysis for stroke must be made rapidly. Stroke mimics continue to present a diagnostic challenge, myasthenia included. Accurate diagnosis is essential to avoid unnecessary hazard, as well as to implement effective treatment for the appropriate diagnosis.
Richard Libman; Richard Benson; Kenneth Einberg
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurology     Volume:  249     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-06     Completed Date:  2003-04-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1512-4     Citation Subset:  IM    
The Department of Neurology, Long Island Jewish Medical Center, The Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, New York 11040, USA. libman@lij.EDU
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MeSH Terms
Brain / pathology,  radiography
Brain Stem Infarctions / diagnosis*,  physiopathology,  therapy
Diagnosis, Differential
Diagnostic Errors
Heparin / therapeutic use
Magnetic Resonance Imaging
Middle Aged
Myasthenia Gravis / diagnosis*,  physiopathology,  therapy
Pyridostigmine Bromide / therapeutic use
Thymoma / complications,  radiography
Tomography, X-Ray Computed
Treatment Outcome
Vertebrobasilar Insufficiency / diagnosis*,  physiopathology,  therapy
Reg. No./Substance:
101-26-8/Pyridostigmine Bromide; 9005-49-6/Heparin

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