1. Stroke MimicsJavier Benitez (@jvrbntz) 2. Case Presentation72 year old woman with pmh of htn, dm, mi,comes to the emergency department with2 hour sudden onset of right sided paresthesia,hemiparesis, and slurred speech.This patient might be having a stroke or a TIA. List a few stroke mimics 3. Stroke Mimics● Toxic metabolic syndrome: ○ Glucose imbalance, sodium imbalance, hepatic encephalopathy● Drug ingestion: e.g. opiods● Seizure and Todd paralysis● Migraine headache● Demyelinating disorders: e.g. MS, ADEM● Cerebrovascular narrowing● Idiopathic intracranial HTN● Peripheral neuropathies: e.g. GBS 4. "Think of stroke first and then mimics" 5. ReferenceEmerg Med Clin North Am. 2012 Aug;30(3):795-804. doi:10.1016/j.emc.2012.06.006.