Evidence Hub

Stroke mimic caused by severe hypomagnesemia: a case report and literature review

Vidal Bankier D, Renard F, Manto M

Journal of neurology, 2026

Abstract

Association of hypomagnesemia and neurological deficits is a well documented issue, but despite its importance, magnesium levels are rarely tested during the acute phase of a stroke. Focal neurological deficits have rarely been ascribed to hypomagnesemia. We report the case of a patient treated with Proton Pump Inhibitors and Metformin with a history of unexplained transient neurological deficits who developed stroke-like symptoms of hemiparesis and aphasia with recovery after correction of his hypomagnesemia. We also present a brief literature review regarding Magnesium's role in focal neurological deficits.

How strong is the evidence?

Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free