Abstract
Recurrent episodes of transient neurological dysfunction occurring in a patient with evidence of recent multiple lacunar infarctions were at first diagnosed as transient ischemic attacks (TIAs), but later proved to be due to focal inhibitory seizures. The differential diagnosis between TIAs and partial epileptic seizures in patients with ischemic cerebrovascular disease may sometimes be difficult in the presence of uncommon clinical manifestations.
Sommario
Una paziente con quadro neuroradiologico di infarti lacunari multipli presentò come sintomatologia di esordio ricorrenti episodi di deficit neurologico transitorio che furono inizialmente interpretati come attacchi ischemici transitori (TIA), mentre la successiva osservazione dimostrò trattarsi di crisi epilettiche inibitorie somatiche. La diagnosi differenziale fra TIA e crisi epilettiche parziali nei pazienti affetti da malattia cerebrovascolare ischemica può presentare inattese difficoltà, in rapporto al possibile verificarsi di manifestazioni cliniche inusuali.
Similar content being viewed by others
References
Armon C., Radtke R.A., Massey E.W.:Therapy of seizures associated with stroke. Clin. Neuropharmacol. 14:17–27, 1991.
Avrahami E., Drory V.E., Rabey M.J., Cohn D.F.:Generalized epileptic seizures as the presenting symptom of lacunar infarction in the brain. J. Neurol. 235:472–474, 1988.
Barolin G.S., Scherzer E., Schnaberth G.:Epileptische Manifestationen als Vorboten von Schlaganfällen: “Vaskuläre Präkursiv-Epilepsie”, Fortschr. Neurol. Psychiat. 39: 199–216, 1971.
Cocito L., Loeb C.:Focal epilepsy as a possible sign of transient subclinical ischemia. Eur. Neur. 29:339–344, 1989.
Commission on Classification and Terminology of the International League Against Epilpsy:Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia 22:489–501, 1981.
Favale E.:Cerebral ischemia as a cause of epileptic seizures. In: Loeb C. (ed) Studies in Cerebrovascular Disease. Masson Italia Editori, Milano: 121–140, 1981.
Hanson P.A., Chodos R.:Hemiparetic seizures. Neurology (Minneapolis), 28:920–923, 1978.
Lee H., Lerner A.:Transient inhibitory seizures mimicking crescendo TIAs. Neurology 40:165–166, 1990.
Lesser R.P., Lüders R.H., Dinner D.S., Morris H.H.:Epileptic seizures due to thrombotic and embolic cerebrovascular disease in older patients. Epilepsia 26:622–630, 1985.
Tinuper P., Aguglia U., Laudadio S., Gastaut H.:Prolonged ictal paralysis: electroencephalographic confirmation of its epileptic nature. Clin. Electroencephalog. 18: 12–14, 1987.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Primavera, A., Giberti, L. & Cocito, L. Focal inhibitory seizures as the presenting sign of ischemic cerebrovascular disease. Ital J Neuro Sci 14, 381–384 (1993). https://doi.org/10.1007/BF02340726
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02340726