TO TPA OR NOT TO TPA: TWO MEDICAL-LEGAL MISADVENTURES OF DIAGNOSING A CEREBROVASCULAR ACCIDENT AS A STROKE MIMIC

To tPA or Not to tPA: Two Medical-Legal Misadventures of Diagnosing a Cerebrovascular Accident as a Stroke Mimic

To tPA or Not to tPA: Two Medical-Legal Misadventures of Diagnosing a Cerebrovascular Accident as a Stroke Mimic

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We present two recent successfully litigated malpractice cases in which patients with cerebrovascular accidents were misdiagnosed as stroke mimics.The first Stoves Sterling DELUXE S1100DF Black 110cm Dual Fuel Range Cooker 444444951 was diagnosed as a hemiplegic migraine, which occurs in only 0.01% of the population.The second was diagnosed as a conversion disorder, which ultimately has a neurologic etiology in 4% of cases.

In both cases, issues of poor patient communication and poor documentation were paramount in the legal outcome.We discuss caveats of stroke mimics, Sexual Wellness tissue plasminogen activator administration liability, and pitfalls in patient and family interactions.

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