Stroke mimic prediction scales for initial hospital stroke dia gnosis

Česká verze

Authors: S. Večerková ^1,2; O. Volný ^1,3; R. Ječmínková ^4,5; M. Bar ^1,3; L. Máchová ^1,3
Authors place of work: Centrum klinických neurověd, LF OU, Ostrava ¹; Zdravotnická záchranná služba, Moravskoslezského kraje, p. o. ²; Neurologická klinika FN Ostrava ³; Oddělení centrálního příjmu, FN Ostrava ⁴; Klinika anesteziologie, resuscitace, a intenzivní medicíny, LF OU a FN Ostrava ⁵
Published in the journal: Cesk Slov Neurol N 2024; 87(5): 309-312
Category: Přehledný referát
doi: https://doi.org/10.48095/cccsnn2024309

Summary

The article presents a current and comprehensive review of stroke mimics (SM), which represent a challenge for differential diagnosis due to their wide range of similar symptoms with strokes. It delves into the brief epidemiology, clinical features, and four predictive scales for SM diagnosis, which were identified on the basis of a literature search: TeleStroke Mimic Score (TSM), FABS, simplified FABS (sFABS), and Khan score. These validated tools might support rapid and efficient decision-making regarding treatment in an emergency department setting with the goal of minimizing delays in providing adequate care to patients with stroke. We would like to highlight the importance of correct identification of SM given the time sensitivity of revascularization treatment, with a focus on optimizing treatment and management of patients with acute onset of neurological symptoms.

Keywords:

intravenous thrombolysis – stroke mimics – ischemic strokes

Zdroje

1. Merino JG, Luby M, Benson RT et al. Predictors of acute stroke mimics in 8 187 patients referred to a stroke service. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc 2013; 22 (8): e397–e403. doi: 10.1016/j.jstrokecerebrovasdis.2013.04.018.

2. Pohl M, Hesszenberger D, Kapus K et al. Ischemic stroke mimics: a comprehensive review. J Clin Neurosci Off J Neurosurg Soc Australas 2021; 93: 174–182. doi: 10.1016/j.jocn.2021.09.025.

3. Keselman B, Cooray C, Vanhooren G et al. Intravenous thrombolysis in stroke mimics: results from the SITS International Stroke Thrombolysis Register. Eur J Neurol 2019; 26 (8): 1091–1097. doi: 10.1111/ene.13944.

4. Tu TM, Tan GZ, Saffari SE et al. External validation of stroke mimic prediction scales in the emergency department. BMC Neurol 2020; 20 (1): 269. doi: 10.1186/s12883-020-01846-6.

5. Zivkovic S, Koh CH, Kaza N et al. Antipsychotic drug use and risk of stroke and myocardial infarction: a systematic review and meta-analysis. BMC Psychiatry 2019; 19 (1): 189. doi: 10.1186/s12888-019-2177-5.

6. Trajkova S, d’Errico A, Soffietti R et al. Use of antidepressants and risk of incident stroke: a systematic review and meta-analysis. Neuroepidemiology 2019; 53 (3–4): 142–151. doi: 10.1159/000500686.

7. Buck B, Akhtar N, Alrohimi A et al. Stroke mimics: incidence, aetiology, clinical features and treatment. Ann Med 2021; 53 (1): 420–436. doi: 10.1080/07853890. 2021.1890205.

8. Moulin S, Leys D. Stroke mimics and chameleons. Curr Opin Neurol 2019; 32 (1): 54–59. doi: 10.1097/WCO. 0000000000000620.

9. Ali SF, Viswanathan A, Singhal AB et al. The TeleStroke Mimic (TM) -score: a prediction rule for identifying stroke mimics evaluated in a Telestroke network. J Am Heart Assoc Cardiovasc Cerebrovasc Dis 2014; 3 (3): e000838. doi: 10.1161/JAHA.114.000838.

10. Kasickova L, Lin K, Volny O et al. Content analysis of stroke teleconsultation recordings in the Moravian--Silesian Region, Czech Republic. Front Neurol 2021; 12: 664918. doi: 10.3389/fneur.2021.664918.

11. Kidwell CS, Starkman S, Eckstein M et al. Identifying stroke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS). Stroke 2000; 31 (1): 71–76. doi: 10.1161/01.str.31.1.71.

12. Bray JE, Martin J, Cooper G et al. Paramedic identification of stroke: community validation of the melbourne ambulance stroke screen. Cerebrovasc Dis Basel Switz 2005; 20 (1): 28–33. doi: 10.1159/000086201.

13. Chen S, Sun H, Lei Y et al. Validation of the Los Angeles pre-hospital stroke screen (LAPSS) in a Chinese urban emergency medical service population. PloS One 2013; 8 (8): e70742. doi: 10.1371/journal.pone.00 70742.

14. Zhao H, Pesavento L, Coote S et al. Ambulance Clinical triage for acute stroke treatment: paramedic triage algorithm for large vessel occlusion. Stroke 2018; 49 (4): 945–951. doi: 10.1161/STROKEAHA.117.019307.

15. Nor AM, Davis J, Sen B et al. The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument. Lancet Neurol 2005; 4 (11): 727–734. doi: 10.1016/S1474-4422 (05) 70201-5.

16. Goyal N, Tsivgoulis G, Male S et al. FABS: an intuitive tool for screening of stroke mimics in the emergency department. Stroke 2016; 47 (9): 2216–2220. doi: 10.1161/STROKEAHA.116.013842.

17. Qin X, Zhao S, Yin L et al. Validation of simplified FABS scale to predict stroke mimics in a Chinese population undergoing intravenous thrombolysis. Clin Neurol Neurosurg 2017; 161: 1–5. doi: 10.1016/j.clineuro.2017. 07.013.

18. Khan NI, Chaku S, Goehl C et al. Novel algorithm to help identify stroke mimics. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc 2018; 27 (3): 703–708. doi: 10.1016/j.jstrokecerebrovasdis.2017.09.067.