Design, Setting, and Participants   BF, Marshall Acute symptomatic hypoglycaemia mimicking ischaemic stroke on imaging: a systemic review. Similar retrospective crossover cohort studies have been successfully used to uncover stroke triggers and risk factors.20,21 We limited the recrudescence comparison to the first adjacent admission to minimize confounding from factors such as advancing age and changes in medications.

Subscale analysis of the NIHSS change score showed a wide variability in the distribution of neurologic deficits: Level of Consciousness, 10%; Gaze, 1%; Visual, 4%; Facial Palsy, 33%; Motor arm or leg, 49%; Limb Ataxia, 9%; Sensory, 26%; Language, 21%; Dysarthria, 26%; and Extinction-Inattention, 1%. Accessibility Statement, Figure 1. Why not be the first to send us your thoughts,

Bardon returned to film four episodes in the latter half of 2008.

Knowledge of the time course of resolution and the expected length of stay should improve resource use.  LP, Pedley

There were no significant differences between groups in the degree of NIHSS score worsening (mean [SD], 2.4 [2.0] vs 2.3 [0.9]; P = .81) or the duration of recrudescence episodes (mean [SD], 18.5 [20.7] vs 16.6 [15.5] hours; P = .81). However, none of the patients developed tissue plasminogen activator–related complications, the rate of which is known to be extremely low in stroke mimics,23 supporting the view that tissue plasminogen activator should not be withheld in patients with acute stroke symptoms.  RM, Fitzsimmons Clinical and imaging features of PSR; triggers (identified by comparing PSR admissions with adjacent admissions without PSR); and risk factors (identified by comparing PSR cases with control cases from the Massachusetts General Hospital Stroke Registry).

JAMA Neurol. The PSR features identified in the study should enable prompt diagnosis and distinguish recrudescence from mimics, such as transient ischemic attacks, migraine, Todd paralysis, and Uhthoff phenomenon.

A major strength of this study is the use of stringent diagnostic criteria that included DWI. Hundreds join pro-Trump motorcade through Des Moines and wave flags and banners in colorful show of support... Donald Trump says Supreme Court pick Amy Coney Barrett is a pure constitutionalist as he predicts a swift... Delaware State University DENIES Joe Biden was a student after he said during town hall event that he 'got... Texas teacher is fired for refusing to stop wearing a Black Lives Matter face mask during in-person workdays... Surfboard that was lost in Hawaii resurfaces six months later more than 5,200 miles away in the Philippines.  KT, Kunze

New arterial pathology was ruled out with (in order of preference) head-neck computed tomography angiography in 64 episodes (40.5%), head-neck MR angiography in 84 (53.2%), head-only MR angiography in 5 (3.2%), and carotid duplex or transcranial Doppler ultrasonography in 5 (3.2%).

Reemergence of previous stroke-related deficits (or poststroke recrudescence [PSR]) is an underrecognized and inadequately characterized phenomenon. The PSR group had substantially more women (90 [62.1%]), African American individuals (25 [17.2%]), and those who self-identified as being of “other” races (19 [13.1%]). (To convert white blood cell count to ×109 per liter, multiply by 0.001; hematocrit to a proportion of 1, multiply by 0.01; and glucose level to millimoles per liter, multiply by 0.0555.  AM. We were unable to extract reliable information about the tempo of onset symptoms, however.