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Published on: September 20, 2024
Acute Ischemic Stroke Presentation Masked by Falsely Localizing Motor Seizure: A Clinical Case Series
Erika L Weil1, Derek W Stitt1, Alejandro A Rabinstein1
1Department of Neurology, Mayo Clinic, Rochester, MN, USA.
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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