مقاله انگلیسی رایگان در مورد میمیکس سکته مغزی – الزویر ۲۰۲۰

elsevier

 

مشخصات مقاله
ترجمه عنوان مقاله میمیکس سکته مغزی: تجربه یک بخش سکته مغزی مراکشی
عنوان انگلیسی مقاله Stroke Mimics: Experience of a Moroccan Stroke Unit
انتشار مقاله سال ۲۰۲۰
تعداد صفحات مقاله انگلیسی ۵ صفحه
هزینه دانلود مقاله انگلیسی رایگان میباشد.
پایگاه داده نشریه الزویر
نوع نگارش مقاله
مقاله پژوهشی (Research Article)
مقاله بیس این مقاله بیس نمیباشد
نمایه (index) Scopus – Master Journals List – JCR – MedLine
نوع مقاله ISI
فرمت مقاله انگلیسی  PDF
ایمپکت فاکتور(IF)
۱٫۷۰۲ در سال ۲۰۱۹
شاخص H_index ۵۰ در سال ۲۰۲۰
شاخص SJR ۰٫۷۷۵ در سال ۲۰۱۹
شناسه ISSN ۱۰۵۲-۳۰۵۷
شاخص Quartile (چارک) Q2 در سال ۲۰۱۹
مدل مفهومی ندارد
پرسشنامه ندارد
متغیر ندارد
رفرنس دارد
رشته های مرتبط پزشکی
گرایش های مرتبط مغز و اعصاب
نوع ارائه مقاله
ژورنال
مجله  مجله سکته مغزی و بیماریهای مغزی-رگی – Journal Of Stroke And Cerebrovascular Diseases
دانشگاه Department of Neurology, Hassan II University Teaching Hospital, Fez, Morocco
کلمات کلیدی فرکانس، سکته مغزی،میمیک سکته مغزی، هشدار ترومبولیز
کلمات کلیدی انگلیسی Frequency، brain stroke، stroke mimic، thrombolysis alert
شناسه دیجیتال – doi
https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104651
کد محصول E14679
وضعیت ترجمه مقاله  ترجمه آماده این مقاله موجود نمیباشد. میتوانید از طریق دکمه پایین سفارش دهید.
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فهرست مطالب مقاله:
Abstract

Introduction

Materials and Methods

Results

Discussion

Conclusions

References

بخشی از متن مقاله:

Abstract

Background: Stroke mimic is a medical condition presenting with acute neurological deficit and simulate real stroke. The objective of this study was to evaluate the frequency and the various etiologies of stroke mimics in our center. Methods: We retrospectively reviewed the Thrombolysis Alert registry and we studied the frequency and characteristics of patients with stroke mimic. Results: Among 673 patients who were admitted to the emergency department within 4.5 hours for sudden focal neurological deficit suggestive of acute stroke, 105 patients (15.6 %) had a stroke mimic. The mean age of patients with mimics and brain strokes were 66.3 and 64.8, respectively. The mean Onset-to-door time was 136.82 minutes and the mean door-to-imaging time was 32.63 minutes in stroke mimics. Seizure (28.5%) was the most common diagnosis of stroke mimics followed by conversion disorder (25.7%). Conclusions: Stroke mimic is frequent and heterogeneous entity that can be difficult to identify. Fortunately, most previous studies show no harmful effects when using thrombolysis in a stroke mimic.

Introduction

Brain Stroke is a major cause of mortality and morbidity. In Morocco, the prevalence rate of stroke in all agesis estimated at 292 per 100,000. The management of ischemic stroke has seen major advances with intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT). IVT has been the standard treatment for acute ischemic stroke (AIS) patients within 4.5 hours of symptom onset. Thrombolysis with tissue plasminogen activator is the first effective approved therapy for potentially disabling AIS. Recently there is more evidence suggesting that other thrombolytics such as tenecteplase may be even more effective. EVT is another effective therapy; it reduces the risk of death or dependency in patients with large vessel occlusion if applied within 6 hours. The recently published DAWN and DEFUSE 3 trials have shown that EVT is also beneficial 6-24 hours after the onset of symptoms in selected patients with favorable imaging brain. The diagnosis of acute ischemic stroke is usually easy by carrying out physical evaluation and studying images of the brain, however several disorders, manifested by an acute neurological deficit can mimic AIS. Stroke mimic term is applied in a clinical evaluation, describing those nonvascular conditions that simulate stroke, namely those presenting with sudden neurological deficit that resembles a stroke but is not related to a vascular cause. Stroke mimics are a major diagnostic challenge. The aim of this study is to evaluate the relative frequency and the various etiologies of stroke mimics in patients with clinical signs of stroke admitted in our emergency room for “Thrombolysis Alert.”

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