ALLERGY, RESPIRATORY
Air Quality Better in Northeast, Midwest
'Safe' Ozone Levels May Not Be for Some
Herbal Remedy Could Halt Peanut Allergy
ALTERNATIVE MEDICINE
Alternative Treatments May Boost IVF Success
Should Your Child Be Seeing a Chiropractor?
New Insights Show Ginseng Fights Inflammation
ANIMAL CARE
Beware of Dog Bites
'Comfort Dogs' Come to Emotional Rescue
Animals Respond to Acupuncture's Healing Touch
BONES & JOINTS
Majority of College Students Report Backpack-Related Pain
Frankincense Provides Relief for Osteoarthritis
Fruits and Veggies May Strengthen Bones
CANCER
Supplement Hampers Thyroid Cancer Treatment
Vitamin C Shows Promise as Cancer Treatment
Vitamin E, Selenium and Soy Won't Prevent Prostate Cancer
CAREGIVING
Caregivers Face Multiple Strains Tending Older Parents
Babies Born in High Pollen Months at Wheezing Risk
Health Tip: Benefitting From Adult Day Care
CIRCULATORY SYSTEM
Obesity Linked to Heart Failure Risk
Migraines in Pregnancy Boost Vascular Risks
Potassium-Rich Foods May Cut Stroke, Heart Disease Risk
COSMETIC
Wrinkle Fillers Need Better Label Warnings: FDA Panel
Gum Chewing May Cut Craving for Snacks
Get Sugared!.... Its a sweet choice for hair removal
DENTAL, ORAL
Toothbrushing May Stave Off Heart Woes
Dental Implants Need More Work Than Root Canals
Gum Care Helps Control Type 2 Diabetes and Its Complications
DIABETES
Brown Rice Bests White for Diabetes Prevention
Patients' Photos Help Boost Radiologists' Accuracy
Coffee, Tea Might Stave Off Diabetes
DIET, NUTRITION
Blueberry Drink Protects Mice From Obesity, Diabetes
Memory Loss Help from Brain Supplement Prevagen
Even in 'Last Supper,' Portion Sizes Have Grown
DISABILITIES
Could Your Cell Phone Help Shield You From Alzheimer's?
Review Finds Marijuana May Help MS Patients
ENVIRONMENTAL HEALTH
Old-Growth Forests Dying Off in U.S. West
Smog Tougher on the Obese
Are Medical Meetings Environmentally Unfriendly?
EYE CARE, VISION
Americans Losing Sight of Eye Health
Kids' Eye Injuries From Golf Clubs Rare But Severe
Poor Night Vision May Predict Age-Related Eye Disease
FITNESS
Many Cancer Survivors Don't Adopt Healthy Lifestyle
Women Who Run May Benefit From Extra Folic Acid
The 3LS Wellness Program for Reversing Chronic Symptoms and Creating Lasting Health
GASTROINTESTINAL PROBLEMS
Japanese Herbals May Ease Gastro Woes
Traditional Nonsurgical GERD Treatments Not Impressive
Intestinal Bacteria Trigger Immune Response
GENERAL HEALTH
Quit Smoking the Holistic Way
Heavy Alcohol Use Linked to Cancer
Simple Holistic Approach to Fight the Common Cold
HEAD & NECK
Ski Helmets Encouraged for All
Zen May Thicken Brain, Thwart Pain
Many Children Will Outgrow Headaches
HEALTH & TECHNOLOGY
Imaging Sheds Light on How Acupuncture Works
Study Suggests Link Between Cell Phones and Brain Tumors
'Comfort Dogs' Come to Emotional Rescue
HEARING
Summer Sounds Can Lead to Hearing Loss
Noise Hurts Men's Hearing More, Study Shows
HEART & CARDIOVASCULAR
Man's Best Friend Helps Mend Broken Hearts
Vitamin B3 May Help Repair Brain After a Stroke
Cherry-Enriched Diet Cut Heart Risks in Rats
INFECTIOUS DISEASE
Grapefruit Compound Inhibits Hepatitis C Virus
Poor Restroom Cleaning Causes Cruise-Ship Sickness
Swine Flu Now Reported in All 50 States
INFERTILITY
Obesity May Affect Fertility in Young Womene
KID'S HEALTH
Scary Toxins Make Halloween Face Paints Questionable
Stomach Germ May Protect Against Asthma
Mom and Baby Alike May Benefit From Exercise
MEN'S HEALTH
Physical Activity May Prolong Survival After Colon Cancer
Strenuous Daily Workout May Keep Cancer at Bay
Exercise May Prevent Prostate Cancer: Study Shows
MENTAL HEALTH
Bullying Seems to Affect Kids Years Later
Consciousness Helps the Mind and Body Work Together
Memory Loss Help from Brain Supplement Prevagen
PAIN
'Cell Phone Elbow' -- A New Ill for the Wired Age
Tai Chi May Help Ease Fibromyalgia
Are We Exercising Pain Away? Not So Much.
PHYSICAL THERAPY
PREGNANCY
Mom's Extra Pregnancy Pounds May Raise Child's Heart Risks
Heart Defects in Newborns Linked to Antidepressants
Pregnant Women Exposed To Certain Pollutants Could Lower Childs IQ
SENIORS
Healthy Diet Could Cut Alzheimer's Disease Risk
Video Gaming Just Might Fight Aging
High-Impact Activity May Be Good for Old Bones
SEXUAL HEALTH
SLEEP DISORDERS
Sleeping Could Help Women Lose The Baby Fat
Daylight Savings: Not a Bright Time for All
Meditation May Help Put Primary Insomnia to Bed
WOMEN'S HEALTH
Postmenopausal Women With Breast Cancer Face Joint Issues
Mom and Baby Alike May Benefit From Exercise
Exercise Boosts Bone Density in Breast-Feeding Moms
Add your Article

ER Less Likely to Diagnose Stroke in Younger Folks

WEDNESDAY, Feb. 18 (HealthDay News) -- An 18-year-old boy complaining of numbness at a Detroit emergency room was discharged after health-care professionals determined he was drunk.

A 24-year-old woman with sharp pain in her left eye and loss of feeling in her right arm was told by ER doctors that she had a migraine.

And a 29-year-old man with slurred speech, a facial droop and vertigo was diagnosed with peripheral vertigo during his emergency room visit.

In fact, each one of these younger adults had had a stroke, which went undetected because of their age, according to new research to be presented Wednesday at the American Stroke Association's International Stroke Conference in San Diego.

The research, looking at ER visits by people under 50, found that the risk of misdiagnosis of a stroke increases as patient age goes down.

"Emergency room personnel need to have a heightened sensitivity to the possibility of stroke in people . . . under 45," said senior study author Dr. Seemant Chaturvedi, director of the stroke program at Wayne State University in Detroit. "There needs to be a solid familiarity with the combination of symptoms that would indicate stroke rather than something more benign."

"Identifying what we consider to be an 'old person's disease' in young people is always a challenge because there's denial on the part of patients and denial on the part of caregivers," added Dr. Robert Greenberg, an assistant professor of emergency medicine at Texas A&M Health Science Center College of Medicine and vice chair of emergency medicine with Scott & White in Temple. "Everybody should be given a stroke assessment. If you see someone who comes in with dizziness and trouble walking, it should cross your mind."

Stroke is the third leading cause of death in the United States. Failure to identify and treat a stroke quickly can lead to severe disability, and even loss of life.

The study authors looked at 57 people under the age of 50 who went to a Detroit emergency room with various symptoms. The participants were equally divided in gender, and their median age was 34.

All but one of the patients had had a stroke. But eight patients, or 14 percent of the total, were misdiagnosed by hospital staff.

"Those under the age of 35 were misdiagnosed one-third of the time," Chaturvedi added. And strokes occurring in the back of the brain were more often misdiagnosed, possibly because symptoms were varied.

But such mistakes may be all too easy to make, Greenberg pointed out.

"These [cases] are all unusual, because you don't [often] see stroke in young patients," he said. "The truth is, distinguishing symptoms such as vertigo or inner ear disorders and [stroke] is pretty difficult for anybody."

"One premise in medicine and society that we all ignore a lot is that age doesn't protect you from illness," Greenberg added. "Anybody of any age can get just about anything, [but] the likelihood of this occurring in a young person is way less. The challenge is to be able to identify atypical presentations of a common disease or common presentations of an unusual disease."

A second study to be presented at the conference found that pharmacies don't regularly recommend that callers with stroke symptoms call 9-1-1.

For their findings, researchers at West Virginia University in Morgantown surveyed 71 pharmacies and found that only one out of every five people who answered the store's phones recommended that potential stroke victims call emergency medical services.

Stroke patients who get to the hospital via EMS get there faster and are more likely to get clot-busting treatment, the study authors pointed out.

Stroke experts say that people of all ages should rush to the hospital if they have any of these symptoms: numbness or weakness of the face, arm or leg, particularly if it only occurs on one side of the body; confusion and trouble speaking; problems with vision; dizziness or loss of balance, or sudden headache.

-Amanda Gardner

More information

The American Heart Association has more on stroke warning signs.



SOURCES: Seemant Chaturvedi, M.D., professor, neurology, and director, stroke program, Wayne State University, Detroit; Robert Greenberg, M.D., assistant professor, emergency medicine, Texas A&M Health Science Center College of Medicine, and vice chair, emergency medicine, Scott & White, Temple; Feb. 18, 2009, presentation, International Stroke Conference, San Diego

Last Updated: Feb. 18, 2009

Copyright 2009 ScoutNews, LLC. All rights reserved.

More articles at www.eholistic.com