ArticleInternational medical case reports journal2016
Dilemma in the emergency setting: hypomagnesemia mimicking acute stroke.
Article in International medical case reports journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- Stroke mimic caused by severe hypomagnesemia: a case report and literature review.Journal of neurology · 2026Review
- Severe hypomagnesemia mimicking acute stroke: a rare but overlooked mimic?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Article
- Recommendation on an updated standardization of serum magnesium reference ranges.European journal of nutrition · 2022Article
- Severe hypomagnesaemia as new potential stroke mimic: a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Article
- Stroke mimic in an acute rehabilitation unit patient with associated hypomagnesaemia.BMJ case reports · 2021Article
- Delayed neurologic sequelae of carbon monoxide intoxication.Turkish journal of emergency medicine · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStroke mimics may account for up to 30% of all acute stroke consultations. However, in the emergency setting, accurate diagnosis is not always possible.
methodsCase report and review of the literature.
resultsA 73-year-old woman was admitted to the emergency department with acute aphasia and right hemiparesis. The National Institute of Health Stroke Score was 21, compatible with severe stroke, so she received thrombolysis. Laboratory testing demonstrated severe hypomagnesemia. She had been taking proton pump inhibitors for years and neuroimaging did not demonstrate signs of acute ischemic disease. After correcting the metabolic alterations with intravenous and oral supplemental magnesium, the patient was discharged asymptomatic. No further episodes have been registered to date.
conclusionHypomagnesemia might cause acute neurological symptoms that could be confused with stroke. A careful history is essential for diagnosis but suspicion of stroke mimic should not prevent tPA administration.
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