Question

Why is it critical to obtain a serum glucose level when ruling out a CVA? What other serum electrolyte imbalance can mimic stroke or cause an altered level of consciousness?

Answer 1

Why is it critical to obtain a serum glucose level when ruling out a CVA?

Because alterations in blood glucose can mimic signs and symptoms of a stroke. Low sugar levels can give the same syptoms of a Cerebrovascular accident (CVA). Slurred speech, dizziness, unco-ordinated movements, reduced conciousness level, confusion.

What other serum electrolyte imbalance can mimic stroke or cause an altered level of consciousness?

Electrolyte imbalances are a common culprit for stroke mimicry, particularly hyponatremia, or low sodium in the blood. This condition is common among elderly patients and results from disordered regulation of sodium and water in the body. Symptoms of hyponatremia can be indistinguishable from ischemic stroke and include changes in consciousness, seizure, or coma. Other neurological symptoms that are commonly associated with strokes, such as weakness, numbness, or uncoordinated movements, can also be seen with hyponatremia.