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تعداد آیتم قابل مشاهده باقیمانده : 1 مورد

Recommended investigations for patients presenting with (suspected) stroke-like episode

Recommended investigations for patients presenting with (suspected) stroke-like episode
Blood and laboratory tests
  • Full blood count
  • Urea, creatinine, and electrolytes
  • Liver function test (LFT)
  • Random glucose
  • Serum lactate (without tourniquet applied)
  • C-reactive protein (CRP)
  • Urinalysis and urine culture (septic screen)
  • Antiseizure medication level (eg, phenytoin, carbamazepine, phenobarbitone) if applicable
  • Coagulation screen (for patients with POLG pathogenic variants)
  • Creatine kinase (CK)
  • HbA1c (for known diabetic)
  • Blood culture (septic screen)
  • Arterial blood gas (for pH if hyperlactatemia is present or respiratory insufficiency is suspected)

MRI head (minimal sequences should include T1, T2, FLAIR, DWI, and ADC)

Electroencephalogram (EEG)

Chest radiography (if aspiration pneumonia is suspected)

Abdominal radiography (if intestinal pseudo-obstruction is suspected)

12-lead electrocardiogram (ECG)
MRI head and EEG are essential for confirming the diagnosis. CT head can be performed if there is any contraindication for performing MRI head.
HbA1c: hemoglobin A1c; MRI: magnetic resonance imaging; FLAIR: fluid-attenuated inversion recovery; DWI: diffusion-weighted imaging; ADC: apparent diffusion coefficient; CT: computed tomography.
Ng YS, Bindoff LA, Gorman GS, et al. Consensus-based statements for the management of mitochondrial stroke-like episodes. Wellcome Open Res 2019, 4:201. Available at: https://wellcomeopenresearch.org/articles/4-201/v1 (Accessed on September 12, 2022). Copyright © 2019 The Authors. Reproduced under the terms of the Creative Commons Attribution License 4.0.
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