Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Ictal hemiparesis: differentiation from stroke.

D Sareen1

  • 1Department of Neurology, St. Stephen's Hospital, Tis Hazari, New Delhi.

The Journal of the Association of Physicians of India
|February 12, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Insulinoma presenting with dementia and hemiplegia.

Neurology India·2018
Same author

Evaluation of retinopathy of prematurity screening in reverse Kangaroo Mother Care: a pilot study.

Eye (London, England)·2015
Same author

Pneumatization correlated to myringoplasty and tubal function.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India·2012
Same author

Primary tuberculosis of the tongue: a rare nodular presentation.

British dental journal·2006
Same author

Primary parotid tuberculosis: varied clinical presentations.

Oral diseases·2006
Same author

Primary tuberculous osteomyelitis of zygoma.

International journal of oral and maxillofacial surgery·2005

Recurrent episodes of one-sided weakness, numbness, and walking difficulty were successfully treated with antiepileptic drugs. This study highlights ictal hemiparesis as a treatable neurological condition.

Area of Science:

  • Neurology
  • Clinical Neuroscience
  • Epileptology

Background:

  • Recurrent episodes of unilateral weakness, heaviness, numbness, and gait disturbance can mimic transient ischemic attacks (TIAs) or hemiplegic migraine.
  • Differentiating these conditions is crucial for appropriate management.

Observation:

  • Four patients presented with stereotyped, recurrent episodes of hemiparesis lasting minutes to hours.
  • Initial diagnoses included TIAs and hemiplegic migraine.
  • Electroencephalography (EEG) revealed focal slowing and epileptiform discharges in the parietal region.

Findings:

  • All patients demonstrated a dramatic positive response to antiepileptic therapy.
  • The clinical presentation was consistent with ictal hemiparesis, a manifestation of seizure activity.

Related Experiment Videos

Implications:

  • This case series suggests that ictal hemiparesis should be considered in the differential diagnosis of recurrent focal neurological deficits.
  • Prompt diagnosis and initiation of antiepileptic treatment can lead to significant clinical improvement.
  • Highlights the importance of EEG in identifying epileptic activity underlying seemingly vascular or migrainous events.