Generalized seizure, the only manifestation of a small ischemic atherothrombotic infarction

doi:10.5847/wjem.j.1920-8642.2016.01.014

World Journal of Emergency Medicine ›› 2016, Vol. 7 ›› Issue (1): 71-73.doi: 10.5847/wjem.j.1920-8642.2016.01.014

• Case Reports • Previous Articles Next Articles

Generalized seizure, the only manifestation of a small ischemic atherothrombotic infarction

Assadollahi Marjan¹, Ramezani Mahtab¹, Karimialavijeh Ehsan²(), Mirfazaelian Hadi²

¹ Neurology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
² Emergency Medicine Department, Tehran University of Medical Sciences, Tehran 14117-13137, Iran

Received:2015-07-20 Accepted:2015-12-16 Online:2016-03-15 Published:2016-03-15
Contact: Karimialavijeh Ehsan E-mail:e-karimi@sina.tums.ac.ir

Abstract

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.

Key words: Small ischemic atherothrombotic infarction, Seizure, Neurological deficit

Assadollahi Marjan, Ramezani Mahtab, Karimialavijeh Ehsan, Mirfazaelian Hadi. Generalized seizure, the only manifestation of a small ischemic atherothrombotic infarction[J]. World Journal of Emergency Medicine, 2016, 7(1): 71-73.

Figures/Tables 2

References 15

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Generalized seizure, the only manifestation of a small ischemic atherothrombotic infarction

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