BRAIN and NERVE－神経研究の進歩72巻4号

2020年04月発行

増大特集 神経疾患の診断における落とし穴—誤診を避けるために

脳卒中

著者： 木村浩晃¹

所属機関： ¹埼玉医科大学国際医療センター脳神経内科・脳卒中内科

ページ範囲：P.311 - P.321

文献概要

ほとんどの脳卒中の症例においてその診断までの道筋は直線的で判断に迷うことはない。しかし，脳卒中を模倣する神経症状を示す脳卒中以外の疾患（脳卒中ミミック）と脳卒中以外の疾患を示唆する非典型的な症状を示す脳卒中（脳卒中カメレオン）が存在する。2例の症例提示を行い，脳卒中ミミックと脳卒中カメレオンについて概説する。これらを同定するためには詳細な病歴聴取，包括的な神経学的診察，適切な画像診断が重要である。

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