tailieunhanh - Báo cáo y học: "Methyl iodide poisoning presenting as a mimic of acute stroke: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Methyl iodide poisoning presenting as a mimic of acute stroke: a case report. | Nair and Chatterjee Journal of Medical Case Reports 2010 4 177 http content 4 1 177 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Methyl iodide poisoning presenting as a mimic of acute stroke a case report Jagdish R Nair Kausik Chatterjee Abstract Introduction Stroke mimics are usually non-vascular disease processes. These raise the possibility of a stroke and are common in clinical practice. It is necessary to distinguish these mimics in order to provide early and appropriate management as well as reduce possible harm on our patient. Case presentation We report the case of a 50-year-old Caucasian man who developed symptoms suggestive of posterior circulation stroke after he was exposed to methyl iodide at his workplace. Results of stroke investigations of our patient were negative and a detailed occupational history clinched the diagnosis. Acute presentation with a stroke-like picture is rare in cases of methyl iodide poisoning. We have attempted to discuss the differential diagnosis of stroke mimics through a review of literature. Conclusion Stroke mimics are difficult to diagnose in an emergency room situation and may be initially treated as stroke. This case report underlines the importance of history taking especially occupational history in the differential diagnosis of stroke. We also stress the need to recognize mimics at presentation in order to arrive at an early and appropriate management of patients. Introduction Several conditions raise the suspicion of a stroke but there usually are alternate explanations for their symptoms. These conditions are commonly known as stroke mimics . Nearly a third to half of cases referred to hospitals as suspected strokes turn out as stroke mimics 1 . Here we present the case of a 50-year-old man who presented signs of as a stroke mimic. In addition we briefly discuss the various known causes of stroke mimics. Case presentation A 50-year-old Caucasian man who was a chemical .