卒中酷似病与静脉溶栓治疗

Stroke mhnics and intravenous thrombolysis

急性卒中样起病的患者中有不少是卒中酷似病（stroke mimics, SMs），最常见的包括癫痫、偏头痛、脑部肿瘤、代谢性疾病等。准确鉴别出SMs对静脉溶栓治疗非常重要，可减少不必要的治疗及其带来的风险，并避免延误恰当的治疗。文章就静脉溶栓中常见的SMs以及如何从临床表现、影像学和量表评估等方面识别进行了综述。

In patients with acute stroke-like onset, many are stroke mimics （SMs）. The most common cases include epilepsy, migraine, brain tumor, and metabolic disorders. Accurate identification of SMs is very important for intravenous thrombolytic therapy. It reduces unnecessary treatment and risks and avoids the delay of proper treatment. This article reviews the common SMs in venous thrombolysis and how to identify them from clinical manifestations, imaging, and scale assessment.