Acute Ischemic Stroke Presentation Masked by Falsely Localizing Motor Seizure: A Clinical Case Series

Erika L. Weil; Derek W. Stitt; Alejandro A. Rabinstein; Gregory D. Cascino; Deena M. Nasr

doi:10.1177/19418744221108555

Acute Ischemic Stroke Presentation Masked by Falsely Localizing Motor Seizure: A Clinical Case Series

Erika L. Weil, Derek W. Stitt, Alejandro A. Rabinstein, Gregory D. Cascino, Deena M. Nasr

Neurology

Research output: Contribution to journal › Article › peer-review

Abstract

In this case series, we describe a novel observation in which 4 patients with acute ischemic stroke secondary to large vessel occlusion and no history of seizure present with focal seizure activity localizable to a chronic, contralateral infarct. The explanation for this phenomenon is unknown but may be due to a combination of effects involving disrupted interhemispheric inhibitory connections and epileptogenic changes involving chronically infarcted tissue.

Original language	English (US)
Pages (from-to)	647-650
Number of pages	4
Journal	Neurohospitalist
Volume	12
Issue number	4
DOIs	https://doi.org/10.1177/19418744221108555
State	Published - Oct 2022

Keywords

acute ischemic stroke
interhemispheric inhibition
post-stoke seizure

ASJC Scopus subject areas

Clinical Neurology

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10.1177/19418744221108555

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title = "Acute Ischemic Stroke Presentation Masked by Falsely Localizing Motor Seizure: A Clinical Case Series",

abstract = "In this case series, we describe a novel observation in which 4 patients with acute ischemic stroke secondary to large vessel occlusion and no history of seizure present with focal seizure activity localizable to a chronic, contralateral infarct. The explanation for this phenomenon is unknown but may be due to a combination of effects involving disrupted interhemispheric inhibitory connections and epileptogenic changes involving chronically infarcted tissue.",

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author = "Weil, {Erika L.} and Stitt, {Derek W.} and Rabinstein, {Alejandro A.} and Cascino, {Gregory D.} and Nasr, {Deena M.}",

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AU - Rabinstein, Alejandro A.

AU - Cascino, Gregory D.

AU - Nasr, Deena M.

N1 - Publisher Copyright: © The Author(s) 2022.

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N2 - In this case series, we describe a novel observation in which 4 patients with acute ischemic stroke secondary to large vessel occlusion and no history of seizure present with focal seizure activity localizable to a chronic, contralateral infarct. The explanation for this phenomenon is unknown but may be due to a combination of effects involving disrupted interhemispheric inhibitory connections and epileptogenic changes involving chronically infarcted tissue.

AB - In this case series, we describe a novel observation in which 4 patients with acute ischemic stroke secondary to large vessel occlusion and no history of seizure present with focal seizure activity localizable to a chronic, contralateral infarct. The explanation for this phenomenon is unknown but may be due to a combination of effects involving disrupted interhemispheric inhibitory connections and epileptogenic changes involving chronically infarcted tissue.

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Acute Ischemic Stroke Presentation Masked by Falsely Localizing Motor Seizure: A Clinical Case Series

Abstract

Keywords

ASJC Scopus subject areas

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