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Updated: Feb 7, 2026
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Utilizing Repetitive Transcranial Magnetic Stimulation to Improve Language Function in Stroke Patients with Chronic Non-fluent Aphasia
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Stroke Versus Seizure - Perfusion Computerized Tomography in a Patient with Aphasia
S Dekeyzer1, S Vanden Bossche1, V Keereman2
1Department of Radiology and Medical Imaging, University Hospital Ghent (UZ Gent), Gent, Belgium.
Journal of the Belgian Society of Radiology
|July 25, 2018
Summary
Acute aphasia can mimic stroke. This case highlights how perfusion CT, alongside MRI and EEG, can help differentiate stroke from seizures, aiding diagnosis in emergency settings.
Area of Science:
- Neurology
- Radiology
- Emergency Medicine
Background:
- Stroke and seizures present with overlapping symptoms, complicating acute diagnosis.
- Aphasia is a common presentation for both neurological emergencies.
Purpose of the Study:
- To present a case differentiating stroke from seizure-induced aphasia.
- To evaluate the utility of perfusion CT in diagnosing stroke-like presentations.
Main Methods:
- Case report of a patient with acute aphasia.
- Utilized computed tomography (CT) perfusion, magnetic resonance imaging (MRI), and electroencephalography (EEG).
Main Results:
- Perfusion CT showed cortical hypervascularity in the left temporoparietal region.
- Final diagnosis was postictal aphasia, not acute ischemic stroke.
Conclusions:
- Perfusion CT is valuable for acute stroke management.
- Perfusion CT can assist in identifying seizures in patients with stroke-like symptoms.
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