Between January 2008 and August 2017, all consecutive patients visiting emergency department with a sudden onset of focal neurological deficit in a time window of less than 6 h, as indicated for thrombolysis, were included in the present study. We conducted a retrospective study of patients identified in our prospective stroke and neuroradiology registry. We also studied the frequency of incidental atrial fibrillation and asymptomatic ischemic stroke in these patients. The objective of the present study was to determine the frequency and characteristics of migraine with aura in patients who initially presented with stroke-like symptoms. Reference Androulakis, Kodumuri and Giamberardino5, Reference Sen, Androulakis and Duda6 Migraine with aura can also be found as a stroke mimic during acute stroke management Reference Terrin, Toldo, Ermani, Mainardi and Maggioni7 however, only a few studies investigated the frequency and characteristics of migraine with aura in patients who initially presented with stroke-like symptoms.
Reference Gryglas and Smigiel4 The increased incidence of atrial fibrillation and cardioembolism in patients diagnosed with migraine with aura was linked to acute stroke. Migraine with aura is a well-documented risk factor of acute stroke.
Reference Quenardelle, Lauer-Ober and Zinchenko1, Reference Kim, Kim, Kim, Roh and Park2 These heterogeneous disorders, presenting with acute onset of focal neurological deficits, which were later associated with nonvascular etiologies, are often termed as stroke mimics, which constitute approximately 20% of patients admitted with a suspicion of acute stroke. We will discuss the 10 monks who made the cut below (Note: The rankings may differ according to different sources, but the names of the 10 monks remain the same.The short window from symptom onset to initiation of thrombolysis in acute stroke patients only allows quick history taking and neurological examination, making it difficult to differentiate acute stroke from other disorders that simulate acute stroke, including seizures, metabolic disorders, migraine with aura, and psychiatric problems. These monks are to this day, still widely regarded as the 10 highest-ranking monks in Thailand. Only 10 monks among the many assembled, were able to do so a mark of their significant spiritual prowess. Most of the monks could guide the hand plane forwards but were unable to move them in reverse. Given the circumstances of the test, only those with significant psychic abilities and mastery of wicha could possibly complete it. His Holiness the Supreme Patriarch stipulated that each master could only use the power of their minds to guide the plane. The monks determined the order of their participation by drawing lots. This effect is, of course, much more pronounced with years of spiritual training. Even the novice mind, with enough focus, can will the blade to spin, stop, or change direction. The entire setup is covered with a glass cup while in use to prevent interference from passing wind and vibrations. This test is similar in concept to a “Telekinetic Enhancer” toolkit, where a light foil rotary blade is suspended from a needle. As the hand plane was moved, psychically or otherwise, friction against the 2 rocking horses would cause the hand plane to move unstably, with droppage resulting in the practitioner failing the test. Details of the exact configuration are fuzzy, but we surmise that the hand plane was positioned atop the 2 “rocking horses”, forming a bridge. A piece of wood was placed on 2 wooden horses and then a “hand plane” was placed on the wood. The ceremony was intended to assess mastery of incantations and psychic energies. This gathering was still said to have been the largest of the few ceremonies to have gathered famous monks from across Thailand in a single venue. More than 100 famous monks from all over the country were invited to attend the event. Somdej Phra Sangkarach Khe The picture of Wat Phra Pathom Chedi Temple in the past Through this, he hoped to personally identify the foremost masters of the day.
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