World J Clin Med Case Rep | Volume 1, Issue 1 | Case Report | Open Access
Folorunso TO*
Department of Medicine, Cardiology Unit, Federal Medical Centre, Nigeria
*Correspondance to: Folorunso Timothy Oluwarotimi
Fulltext PDFBackground: Stroke-like syndrome is a stroke mimic, usually common in the young and accurate diagnosis has considerable impact in terms of treatment choices and outcomes.
Objectives: To emphasize the need for high index of suspicion and the need for multidisciplinary approach and accurate diagnosis of stroke-like syndrome.
Case Report: A 32 years old woman who presented with recurrent headache of a year duration with right upper limb weakness of 3 months which later involved lower limb 1month and inability to talk 2 days to presentation. Examination revealed a young woman, conscious but aphasic, emaciated, afebrile, anicteric and nil pedal edema. Neurological findings include expressive aphasia, right facioparesis and right hemiparesis. Other systemic examinations were essentially normal. A diagnosis of left hemispheric ischemic stroke was initially entertained. Brain computerized tomography revealed infarct involving the left frontal and temporal lobes but echocardiography revealed tuberculous pericarditis, a suspicion of stroke mimic of infective origin was entertained. Diagnosis was confirmed by ‘trial of treatment’ of anti-tuberculosis which resulted in dramatic resolution of symptoms within 4 weeks of anti-tuberculosis drugs.
Conclusion: There is need for high index of suspicion, accurate diagnosis and multidisciplinary approach for appropriate treatment choices and outcomes.
Stroke-like syndrome; Tuberculosis; Pericarditis; Encephalopathy
Folorunso TO. A Case Report of Stroke-like Syndrome: Tuberculous Encephalopathy. World J Clin Med Case Rep. 2023; 1(1): 1002..