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Exposing Blind Spots: Missed Stroke Diagnoses
Rubinee Simmasalam1, Ashwin Reddi1, Wan-Tsu W Chang2
1Division of Neurocritical Care and Emergency Neurology, Department of Neurology, University of Maryland Medical Center, Baltimore, MD, USA.
Abstract:
Stroke is one of the leading causes of adult disability. Missed stroke diagnoses increase morbidity and mortality and can result from a variety of factors. Thrombolytic therapy in stroke mimics carries a low risk of intracerebral hemorrhage. Accurate stroke identification, especially in stroke chameleons, can be improved through a detailed history, comprehensive neurologic examination, and maintaining a high index of suspicion. Reducing missed stroke diagnoses requires a multidisciplinary approach including targeted education to improve recognition, addressing socioeconomic contributors to misdiagnosis, and expanding system and population level analyses of patients with missed stroke diagnoses.
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