The clinical features and differential diagnosis of acute stroke

Occasionally, head injury causing intracerebral hemorrhage can be missed, while hemorrhagic stroke may cause a fall and subsequent head injury consequently the sequence of 

Intracranial tumor, e.g. glioma, meningioma Subdural hematoma Epileptic seizure 

Metabolic/toxic encephalopathy hypoglycemia, hepatic failure, alcohol intoxication 

Determining the location of the stroke provides useful prognostic information and helps to establish the underlying cause for the stroke, since the various clinical syndromes (described below) have differing probabilities of being caused by large or small vessel disease or cardioembolism. 

Strokes can be divided into four main clinical syndromes on the basis of symptoms and clinical signs (Bamford et al. 1991 Mead et al. 1999)  

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The clinical features and differential diagnosis of acute stroke... 

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