Table 6.

Features of Clinical Situations Mimicking Stroke

PsychogenicLack of objective cranial nerve findings, neurological findings in a nonvascular distribution, inconsistent examination
SeizuresHistory of seizures, witnessed seizure activity, postictal period
HypoglycemiaHistory of diabetes, low serum glucose, decreased level of consciousness
Migraine with aura (complicated migraine)History of similar events, preceding aura, headache
Hypertensive encephalopathyHeadache, delirium, significant hypertension, cortical blindness, cerebral edema, seizure
Wernicke’s encephalopathyHistory of alcohol abuse, ataxia, ophthalmoplegia, confusion
CNS abscessHistory of drug abuse, endocarditis, medical device implant with fever
CNS tumorGradual progression of symptoms, other primary malignancy, seizure at onset
Drug toxicityLithium, phenytoin, carbamazepine
  • CNS indicates central nervous system.