Nelson Textbook of Pediatrics 22nd Edition | Acute focal neurologic deficits can mimic stroke. Differential includes: migraine (hemiplegic, basilar, with aura), seizure with Todd paralysis, demyelinating disorders (ADEM, MS), metabolic disorders (MELAS, hypoglycemia), functional neurologic disorders, reversible cerebral vasoconstriction syndrome (RCVS), alternating hemiplegia of childhood, channelopathies, and inborn errors of metabolism. Evaluation: MRI DWI, EEG, metabolic studies.
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