Abstract
After a reversible right hemispheric stroke, a patient with bilateral carotid occlusion developed left motor seizures and bilateral TIAs, both triggered by orthostatic hypotension.
A CT-scan showed a right frontal hypodense area. Hemodynamic factors may cause focal seizures in patients with cortical lesions.
Riassunto
Dopo un attacco ischemico reversibile in emisfero destro, un paziente con occlusione carotidea bilaterale presentò crisi epilettiche focali motorie agli arti di sinistra e TIA bilaterali, entrambi scatenati da ipotensione ortostatica.
Una TAC dimostrò un 'area ipodensa frontale destra.
Fattori emodinamici possono provocare crisi epilettiche focali in pazienti con lesioni corticali.
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References
Cocito L., Favale E., Reni L.:Epileptic seizures in cerebral arterial exclusive disease. Stroke 13, 189–195, 1982.
Heyman A., Leviton A., Millikan CH et al:Transient focal cerebral ischemia. Epidemiological and clinical aspects. Stroke 5, 277–287, 1974.
Riley TL., Friedman JM.:Stroke, orthostatic hypotension, and focal seizures. JAMA 245, 1243–1244, 1981.
Joyeux O., Aimard G., Goutelle A., Couvjon J., Perroudon C.:Athérome carotidien segmentaire et épilepsie. Neurochirurgie 17, 217–224, 1971.
Globus M., Lavi E., Fich A., Abramsky O.:Ictal hemiparesis. Eur Neurol 21, 165–168, 1982.
Dodge P.R., Richardson EP., Victor M.:Recurrent convulsive seizures as a sequel to cerebral infarction: a clinical and pathological study. Brain 77, 610–638, 1959.
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Landi, G., Perrone, P. & Guidotti, M. Bilateral TIAs and unilateral seizures due to orthostatic hypotension. A case report. Ital J Neuro Sci 4, 239–241 (1983). https://doi.org/10.1007/BF02043914
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DOI: https://doi.org/10.1007/BF02043914