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pubmed-article:10821081pubmed:abstractTextMisdiagnosis 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.lld:pubmed
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pubmed-article:10821081pubmed:dateRevised2007-11-15lld:pubmed
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pubmed-article:10821081pubmed:articleTitleMisdiagnosis of stroke--a computerised tomography scan study.lld:pubmed
pubmed-article:10821081pubmed:affiliationDepartment of Medicine, Ogun State University Teaching Hospital, Sagamu, Nigeria.lld:pubmed
pubmed-article:10821081pubmed:publicationTypeJournal Articlelld:pubmed
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