Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
ISSN: 2155-9880
Bappaditya Ray
Tanzania
Research Article
Can Headache Help to Rule out Stroke Mimics during Stroke Alert?
Author(s): Evgeny V Sidorov, David M. Thompson, Vijay Pandav, Joshua Santucci, Bradley Bohnstedt and Bappaditya RayEvgeny V Sidorov, David M. Thompson, Vijay Pandav, Joshua Santucci, Bradley Bohnstedt and Bappaditya Ray
Objective: When patients present to the emergency department (ED) with acute focal neurological deficit, sometimes it is hard to make a decision about IV thrombolysis. In such situations, neurologists need to make a judgment call about it. According to some studies, IV thrombolysis is safe for patients with stroke mimics; however, a small possibility of hemorrhage still exists. Furthermore, unnecessary IV thrombolysis in stroke mimics significantly increases cost of care. We aimed to determine if presence of headache in patients with focal neurological deficit during stroke alerts makes a difference in the neurologist decision about IV thrombolysis.
Methods: A retrospective chart review of 326 patients who presented to The University of Oklahoma Medical Center (OUMC) as a stroke alert in 2013.
Results: At OUMC, 151 patie.. View More»
DOI:
10.4172/2155-9880.1000554