Mismatch: when the imaging studies conflict with the neurologic exam.
As neurologists, we increasingly rely on imaging studies to help us diagnose acute stroke. This unusual case is a reminder that even sophisticated imaging techniques can have false negatives and emphasizes the importance of the clinical exam.
Zeevi
Neer
N
Department of Neurology and Neuroscience, University of Connecticut Health Center and Department of Neurology, Stroke Center at Hartford Hospital, Farmington, Connecticut.
McCullough
Louise D
LD
Department of Neurology and Neuroscience, University of Connecticut Health Center and Department of Neurology, Stroke Center at Hartford Hospital, Farmington, Connecticut. Electronic address: lmccullough@uchc.edu.
D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D001921:Brain / Q000473:pathology; D048909:Diabetes Complications / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007010:Hyponatremia / Q000150:complications; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D010291:Paresis / Q000209:etiology; D010468:Perceptual Disorders / Q000209:etiology; D020521:Stroke / Q000175:diagnosis*; D013530:Surgical Wound Infection / Q000150:complications / Q000628:therapy