Journal of Clinical Case Reports

Brett Kissela

Publications

• Case Report
  A Person with Factitious Disorder Presenting with Acute Stroke-Like Symptoms and Receiving Thrombolytic Therapy Twice
  Author(s): Samir R Belagaje, Jordan Bonomo, Christopher White, Brett Kissela, Dawn Kleindorfer, Robert Neel and Joseph BroderickSamir R Belagaje, Jordan Bonomo, Christopher White, Brett Kissela, Dawn Kleindorfer, Robert Neel and Joseph Broderick
  
  One of the challenges in acute stroke management is accurately differentiating between actual ischemic events and other conditions that mimic stroke. In a cohort of 821 consecutive patients admitted to an acute stroke unit, 13% were incorrectly diagnosed as stroke [1]. In another cohort of 411 patients, it was estimated that 19% of patients presenting to the emergency department with stroke-like symptoms ultimately have other diagnoses such as a postictal state, metabolic disturbances, and systemic infections [2]. Regardless of the actual percentage, it is clear that not all cases of acute stroke-like symptoms are true strokes and other mimics should be considered. One such mimic is factitious disorder. Factitious disorder is a psychiatric condition in which afflicted individuals exaggerate symptoms and even endorse medical illness, or psychological trauma in order to draw atte.. Read More»
  DOI: 10.4172/2165-7920.1000138

  Abstract PDF