Generalized seizure, the only manifestation of a small ischemic atherothrombotic infarction
10.5847/wjem.j.1920-8642.2016.01.014
- Author:
Marjan ASSADOLLAHI
1
;
Mahtab RAMEZANI
;
Ehsan KARIMIALAVIJEH
;
Hadi MIRFAZAELIAN
Author Information
1. Neurology Department
- Keywords:
Small ischemic atherothrombotic infarction;
Seizure;
Neurological deficit
- From:
World Journal of Emergency Medicine
2016;7(1):71-73
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:According to the literature, generalized seizure as a presenting sign of stroke is rare, and in the reported cases it was accompanied by a focal neurological deficit. Presentation of a small ischemic atherothrombotic brain infarction with convulsive generalized seizure is very rare. METHODS:We reported a patient with acute small ischemic atherothrombotic infarction associated with an episode of generalized tonic-clonic seizure, a rare clinical manifestation in this type of stroke. The patient was treated with anti-epileptic therapy after admission. RESULTS:The patient was discharged with oral administration of phenytoin 100 mg TDS, aspirin 80 mg daily, and atorvastatin 40 mg daily. CONCLUSION:Small ischemic atherothrombotic infarction can present only with a seizure without any focal neurological deficit.
