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Reexpression of Prior Stroke Symptoms in Adults: When is a Mimic a Mimic?

James E Siegler1, Alexander J George, Sheryl Martin-Schild

  • 1Department of Neurology, Tulane University School of Medicine, New Orleans, LA.

The Neurologist
|September 1, 2017
PubMed

Insights

Stroke mimics present symptoms similar to stroke but lack ischemia. Stroke reexpression is a subtype where prior stroke symptoms return due to other disturbances, lacking standardized terminology.

Area of Science:

  • Neurology
  • Clinical Neuroscience

Background:

  • Stroke mimics are conditions with neurological symptoms resembling cerebral ischemia but without an ischemic cause.
  • Stroke reexpression, a subtype, involves the recurrence of previous stroke symptoms due to non-ischemic triggers.

Observation:

  • Clinical literature contains numerous reports of stroke reexpression.
  • However, there is a lack of consensus on standardized terminology for this phenomenon.

Findings:

  • This review synthesizes examples of stroke reexpression.
  • It proposes practical criteria for identifying this condition.

Implications:

  • Standardized criteria for stroke reexpression can improve clinical recognition and diagnosis.
  • Clearer terminology may enhance communication and research in neurology.

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