ReviewCurrent neurology and neuroscience reports2017
Stroke Chameleons and Stroke Mimics in the Emergency Department.
Review in Current neurology and neuroscience reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
47 citing papers in PubMed, 104 citations in OpenAlex.
- Article
- A Diagnostic Challenge: From Suspected Ischemic Stroke to Confirmed Herpetic Encephalitis.Clinical case reports · 2026Article
- Population-Level Digital Stroke Surveillance: Building a Fair and Accurate ICD-10 Detection Model.Cerebrovascular diseases (Basel, Switzerland) · 2026Article
- Enhanced Detection of Acute Ischemic Stroke With Low-Field MRI.Stroke (Hoboken, N.J.) · 2026Article
- The Incidence of Stroke Mimics in the Emergency Department of a Tertiary-care Center in Lebanon.The western journal of emergency medicine · 2025Article
- Using a Deep Learning-Based Decision Support System to Predict Emergent Large Vessel Occlusion Using Non-Contrast Computed Tomography.Journal of clinical medicine · 2025Article
- Article
- Comparison of Standardized Mortality Ratios in seven Dutch EDs based on presenting complaints.BMC emergency medicine · 2025Observational
- Diagnostic challenges in emergency stroke: a case series.Quantitative imaging in medicine and surgery · 2025Article
- Intravenous tissue plasminogen activator in functional stroke mimics.Postepy psychiatrii neurologii · 2025Review
- Endogenous tPA levels: A biomarker for discriminating hemorrhagic stroke from ischemic stroke and stroke mimics.Annals of clinical and translational neurology · 2024Observational
- Ischemic core detection threshold of computed tomography perfusion (CTP) in acute stroke.La Radiologia medica · 2024Article
- Rates of Acute Brain Injury Among Severely Hypertensive Patients Seen in the Emergency Department.The Neurohospitalist · 2024Article
- Is this a stroke? The profile of patients with suspected acute cerebrovascular accident transferred by ambulance to the Neurology Emergency Department.Postepy psychiatrii neurologii · 2024Article
- Article
- Stroke mimics: A case report of cervical spondylosis with intravenous thrombolysis.CNS neuroscience & therapeutics · 2024Article
- MRI of cerebral oedema in ischaemic stroke and its current use in routine clinical practice.Neuroradiology · 2024Review
- Patient flow analysis with fast-track MRI for suspected stroke in the emergency department and associated non-comprehensive stroke center.Therapeutic advances in neurological disorders · 2024Article
- Stroke chameleons: Diagnostic challenges.European journal of radiology open · 2023Article
- Frequency and Characteristics of Non-Neurological and Neurological Stroke Mimics in the Emergency Department.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewWe discuss the frequency of stroke misdiagnosis in the emergency department (ED), identify common diagnostic pitfalls, describe strategies to reduce diagnostic error, and detail ongoing research. RECENT
findingsThe National Academy of Medicine has re-defined and highlighted the importance of diagnostic errors for patient safety. Recent rates of stroke under-diagnosis (false-negative cases, "stroke chameleons") range from 2-26% and 30-43% for stroke over-diagnosis (false-positive cases, "stroke mimics"). Failure to diagnosis stroke can preclude time-sensitive treatments and has been associated with poor outcomes. Strategies have been developed to improve detection of posterior circulation stroke syndromes, but ongoing work is needed to reduce under-diagnosis in other atypical stroke presentations. The published rates of harm associated with stroke over-diagnosis, particularly thrombolysis of stroke mimics, remain low. Additional strategies to improve the accuracy of stroke diagnosis should focus on rapid clinical reasoning in the time-sensitive setting of acute ischemic stroke and identifying imperfections in the healthcare system which may contribute to diagnostic error.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.