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. 2010 Jun 15:4:177.
doi: 10.1186/1752-1947-4-177.

Methyl iodide poisoning presenting as a mimic of acute stroke: a case report

Jagdish R Nair  1 , Kausik Chatterjee
Affiliations

Methyl iodide poisoning presenting as a mimic of acute stroke: a case report

Jagdish R Nair et al. J Med Case Rep. .

Abstract

Introduction: Stroke mimics are usually non-vascular disease processes. These raise the possibility of a stroke and are common in clinical practice. It is necessary to distinguish these mimics in order to provide early and appropriate management, as well as reduce possible harm on our patient.

Case presentation: We report the case of a 50-year-old Caucasian man who developed symptoms suggestive of posterior circulation stroke after he was exposed to methyl iodide at his workplace. Results of stroke investigations of our patient were negative, and a detailed occupational history clinched the diagnosis. Acute presentation with a stroke-like picture is rare in cases of methyl iodide poisoning. We have attempted to discuss the differential diagnosis of stroke mimics through a review of literature.

Conclusion: Stroke mimics are difficult to diagnose in an emergency room situation and may be initially treated as stroke. This case report underlines the importance of history taking, especially occupational history, in the differential diagnosis of stroke. We also stress the need to recognize mimics at presentation in order to arrive at an early and appropriate management of patients.

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References

    1. Harbison J, Hossain O, Jenkinson D, Davis J, Louw SJ, Ford GA. Diagnostic accuracy of stroke referrals from primary care, emergency room physicians, and ambulance staff using the face arm speech test. Stroke. 2003;34(1):71–76. doi: 10.1161/01.STR.0000044170.46643.5E. - DOI - PubMed
    1. Nor AM, Davis J, Sen B, Shipsey D, Louw SJ, Dyker AG, Davis M, Ford GA. The recognition of stroke in the emergency room (ROSIER) scale: development and validation of a stroke recognition instrument. Lancet Neurol. 2005;4(11):727–734. doi: 10.1016/S1474-4422(05)70201-5. - DOI - PubMed
    1. Franck R, Michel W, Frédérique D, Cendrine C, Thomas DB, Sylvie C, Pierre L, Philippe C, Flore R. Outcome of and prognostic factors for herpes simplex encephalitis in adult patients: results of a multicenter study. Clin Infectious Dis. 2002;35:254–260. doi: 10.1086/341405. - DOI - PubMed
    1. Jesse W. Interactions between migraine and stroke. Curr Treatment Options in Neurol. 2006;8(6):513–517. doi: 10.1007/s11940-006-0041-7. - DOI - PubMed
    1. Montgomery BM, Pinner CA, Newberry SC. Transient hypoglycemic hemiplegia. Arch Int Med. 1964;114:680–684. - PubMed

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