Stroke
- Other notes
Differential diagnosis of acute stroke
- Hypoglycaemia
- Post-ictal paralysis (Todd paralysis)
- Bell palsy
- Hypertensive encephalopathy
- Epidural/subdural haematoma
- Brain tumour/abscess
- Complicated migraine
- Meningitis/encephalitis
- Diabetic ketoacidosis
- Hyperosmotic coma
- Wernicke's encephalopathy
- Labyrinthitis
- Meniere's disease
- Demyelinating disease (multiple sclerosis)
- Drug toxicity (lithium, phenytoin, carbamazepine)
Sickle cell disease
Stroke occurs by age 20 in over 10% patients with sick cell anemia and is the most common cause of ischaemic stroke in children.