Territorial Strokes as a Tool to Learn Vascular Territories

Vachha, Behroze; Schaefer, Pamela W.

doi:10.1007/978-1-4614-9212-2_10-1

Cited by 1 publication

(1 citation statement)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A stroke is a vascular event in the brain. The constellation of signs and symptoms of a patient should correlate with the certain vascular territory (Vachha et al, 2014). The patient will present differently according to the affected vessels.…”

Section: Discussionmentioning

confidence: 99%

Meningioma: An Important Stroke Mimic

Cheo¹,

Low

Chia

2021

BJMS

View full text Add to dashboard Cite

Rapid Stroke is a common clinical problem. Stroke can be broadly divided into ischaemic and haemorrhagic stroke. Ischaemic stroke can be further classified by TOAST classification into large-artery atherosclerosis, cardioembolism, small vessel occlusion, the stroke of other determined aetiology and stroke of undetermined aetiology. Importantly, we need to be wary of important stroke mimics such as brain tumour, demyelination, intoxication as they can lead to changes in clinical management. Here, we would like to illustrate a case of meningioma which clinically mimics a stroke. This patient is a 78-year-old lady who initially presented with sudden onset right-sided body weakness associated with slurred speech and facial asymmetry. An urgent plain computed tomography (CT) of the brain showed hypodensities at the left middle cerebral artery territory. However, re-evaluation noted her to have a normal Glasgow Coma Scale without any cortical signs, cerebellar sign or dysphasia. In view of these, stroke mimics was suspected. A contrasted CT brain was done which confirmed the diagnosis of meningioma. She was offered surgical intervention for meningioma but she was not keen on it. In conclusion, this case highlighted the importance of clinical evaluation in recognising stroke mimics.

show abstract

Section: Discussionmentioning

confidence: 99%