کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
342861 548882 2006 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Ictal paralysis with tonic eye gazing mimicking a pontine infarction
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
پیش نمایش صفحه اول مقاله
Ictal paralysis with tonic eye gazing mimicking a pontine infarction
چکیده انگلیسی

SummaryPurposeConcomitant positive and negative motor phenomena in a single seizure have not been reported before.MethodWe used an extensive history review, neurological examination, EEG, MRI and SPECT study to demonstrate a rare combination of motor presentations as an ictal phenomenon.ResultA 64-year-old male was brought to the emergency room with dizziness, progressive drowsiness and left hemiparesis. A spontaneous eye deviation to the left side with nystagmus was observed. A right pontine lesion was tentatively diagnosed. However, a focal motor seizure of the patient's left face and limbs occurred 3.5 h later. A brain MRI revealed a high signal in the right amygdala, hippocampus and thalamus, instead of the pons. An EEG showed periodic epileptic discharges in the right posterior temporal parietal region. Regional hyperperfusion was found by brain SPECT. The level of consciousness improved dramatically after adequate phenytoin treatment.ConclusionA posterior temporal–parietal seizure can present with a prolonged ictal paralysis, a positive ocular nystagmoid deviation and an altered level of consciousness. The EEG is essential for a correct diagnosis, especially with a negative or an unexplainable MRI study. The SPECT has an additional role for the differential diagnosis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seizure - Volume 15, Issue 8, December 2006, Pages 637–642
نویسندگان
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