Extracranial vertebral artery dissection following tonic clonic seizure.

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.

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...

Extracranial vertebral artery dissection.

Extracranial vertebral artery dissection

Vertebral artery dissection (VAD) is not uncommon in the young adult population. Owing to the various clinical manifestations; the diagnosis of VAD mainly depends on imaging examinations. Ultrasound has found an increasingly wide utilization in the diagnosis of VAD because of the continuous improvement in the resolution of ultrasonic instruments and accessibility.We retrospectively collected th...

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...