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.
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.
Entities:
Keywords:
Neurological deficit; Seizure; Small ischemic atherothrombotic infarction
Authors: Nicholas S Abend; Lauren A Beslow; Sabrina E Smith; Sudha K Kessler; Arastoo Vossough; Stefanie Mason; Shannon Agner; Daniel J Licht; Rebecca N Ichord Journal: J Pediatr Date: 2011-03-22 Impact factor: 4.406