Year: 2024 | Month: December | Volume: 14 | Issue: 12 | Pages: 265-273
DOI: https://doi.org/10.52403/ijhsr.20241233
Unusual Stroke Presentations: A Review of Reported Cases
Dalal Mahmoud Alabdulmohsen1
1Department of Internal Medicine, College of Medicine, King Faisal University, Alahsa, Saudi Arabia.
Corresponding Author: Dalal Mahmoud Alabdulmohsen
ABSTRACT
Stroke is a major cause of death and disability, primarily due to ischemic events. While common symptoms are well-known, stroke can present atypically, making diagnosis difficult. Early recognition of these uncommon presentations is crucial, as delays in diagnosis can lead to permanent damage or death, highlighting the importance of thorough evaluation in emergency situations. This study explores the challenges of recognizing stroke with atypical initial manifestations. A literature review of case reports revealed that stroke patients may present with atypical complaints, including acute hearing loss, isolated ptosis, continuous cough, foreign-body sensation in the throat, sleep disturbance, chest pain, limb pain, foot drop, psychosis, and others. These unusual presentations can misdirect the diagnostic process, leading to delayed stroke diagnosis and potentially serious consequences. By examining these cases, the importance of maintaining a high index of suspicion for stroke is emphasized, even in the absence of classic neurological signs. Early recognition and timely intervention, supported by thorough neurological assessments and appropriate imaging, are essential for improving patient outcomes and reducing neurological damage.
Key words: Stroke, Stroke chameleons, Diagnostic challenges, Neurology review