Source:http://linkedlifedata.com/resource/pubmed/id/10821081
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
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| pubmed:dateCreated |
2000-6-6
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| pubmed:abstractText |
Misdiagnosis of stroke has significant implication for definitive therapy. This study assessed the frequency of misdiagnosis of stroke using computerised tomography (CT) scan of the brain. One hundred and fifty-six patients admitted over a five year period (1991-1996) with clinical features suggestive of stroke had their CT brain scan reviewed. Only 89 (57%) had neuroradiological features consistent with stroke, of which 59 (66%) had cerebral infarction while 30 (34%) had cerebral haemorrhage. In 67 (43%) of the cases, there were no features of cerebro-vascular accident (CVA) on the CT scan. In this group, cerebral atrophy was the commonest radiological abnormality (21/67), followed by brain tumor (10/67) and subdural haematoma (9/67). The CT scan was normal in 25 patients. The misdiagnosis of surgically treatable conditions in as many as 21 (13.5%) of the 156 patients calls for better neurological evaluation of patients admitted for stroke in tertiary and non-tertiary hospitals. Where available, patients with clinical diagnosis of stroke should have CT scan evaluation to ensure that patients who can be helped surgically are identified early and appropriately treated.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:issn |
0189-160X
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
19
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
19-22
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| pubmed:dateRevised |
2007-11-15
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| pubmed:meshHeading |
pubmed-meshheading:10821081-Aged,
pubmed-meshheading:10821081-Brain Abscess,
pubmed-meshheading:10821081-Brain Neoplasms,
pubmed-meshheading:10821081-Diagnostic Errors,
pubmed-meshheading:10821081-Female,
pubmed-meshheading:10821081-Hematoma, Subdural,
pubmed-meshheading:10821081-Hospitals, University,
pubmed-meshheading:10821081-Humans,
pubmed-meshheading:10821081-Hydrocephalus,
pubmed-meshheading:10821081-Male,
pubmed-meshheading:10821081-Middle Aged,
pubmed-meshheading:10821081-Nigeria,
pubmed-meshheading:10821081-Referral and Consultation,
pubmed-meshheading:10821081-Reproducibility of Results,
pubmed-meshheading:10821081-Retrospective Studies,
pubmed-meshheading:10821081-Sensitivity and Specificity,
pubmed-meshheading:10821081-Stroke,
pubmed-meshheading:10821081-Tomography, X-Ray Computed
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| pubmed:articleTitle |
Misdiagnosis of stroke--a computerised tomography scan study.
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| pubmed:affiliation |
Department of Medicine, Ogun State University Teaching Hospital, Sagamu, Nigeria.
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| pubmed:publicationType |
Journal Article
|