Stroke Versus Seizure - Perfusion Computerized Tomography in a Patient with Aphasia

Both stroke and seizures have varied clinical presentations and their differentiation in the acute setting is not always straightforward. We present the case of a patient who presented at the emergency room with acute onset aphasia. Clinically acute ischemic stroke was suspected. Perfusion CT was pe...

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Bibliographic Details
Published inJBR-BTR (Bruxelles) Vol. 99; no. 2; pp. 85 - 89
Main Authors Dekeyzer, S, Vanden Bossche, S, Keereman, V, Hemelsoet, D, Van Driessche, V
Format Journal Article
LanguageEnglish
Published England Ubiquity Press 30.12.2015
Subjects
Case Report
stroke, stroke mimicry, seizure, postictal paresis, perfusion-CT
Perfusion CT
Postical aphasia
Stroke
Seizure
Stroke mimicry
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Summary:Both stroke and seizures have varied clinical presentations and their differentiation in the acute setting is not always straightforward. We present the case of a patient who presented at the emergency room with acute onset aphasia. Clinically acute ischemic stroke was suspected. Perfusion CT was performed and demonstrated cortical hypervascularity in the left partietotemporal region. Additional MRI and EEG were performed and a final diagnosis of postictal aphasia was made. This case illustrates that perfusion CT is not only a useful tool for acute stroke management, but can also aid in the detection of seizures in patients presenting with stroke-like symptoms.
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ISSN:2514-8281
1780-2393
2514-8281
1780-2393
DOI:10.5334/jbr-btr.880