Carotid dissection following a generalized tonic-clonic seizure

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Carotid dissection following a generalized tonic-clonic seizure.

A 37-year-old woman experienced a generalized tonic-clonic seizure. Subsequent to the seizure, the patient observed left-sided face and neck pain. A left Horner syndrome was noted on examination. AnMRI and magnetic resonance angiogram revealed a left skull base carotid artery dissection without infarction (figure, A and B). Previous MRI had shown normal carotid flow voids. The patient was treat...

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Extracranial vertebral artery dissection following tonic clonic seizure.

A 34 year old woman developed cerebral infarction, following a tonic-clonic seizure. A vertebral artery dissection was demonstrated and may have been caused by arterial trauma during the seizure. This cause of morbidity following convulsive seizures may have been overlooked in the past and needs to be recognised in view of the potential benefits of anticoagulation.

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Type 2 Myocardial Infarction Following Generalized Tonic-Clonic Seizure

Myocardial infarction is diagnosed when blood levels of biomarkers are increased in the clinical setting of acute myocardial ischemia. Among the biomarkers, troponin I is the preferred biomarker indicative of myocardial necrosis. It is tissue specific for the heart. Myocardial infarction is rarely reported following seizure. We report a case of elevated troponin I in a patient after an episode ...

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Pulmonary edema following tonic–clonic seizure

Dear Editor, We report a case of pulmonary edema following tonic–clonic seizure not associated with congestive heart failure. A 68-year-old man was transferred to our department with self-limited tonic–clonic seizure continuing for 3 min. The patient’s medical history was notable for epilepsy treated with carbamazepine (400 mg/day). The last seizure had occurred more than 25 years previously. T...

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Factors influencing the duration of generalized tonic–clonic seizure

PURPOSE This study investigated the duration of generalized tonic-clonic seizure (GTCS) and the factors that prolong GTCS duration. METHOD We retrospectively analyzed clinical data collected from a consecutive group of patients who underwent video-electroencephalography (EEG) and experienced at least one GTCS during monitoring. Each seizure was divided into seven phases. The duration of GTCS ...

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ژورنال

عنوان ژورنال: Neurology

سال: 2013

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e318292a356