Cortical myoclonus during IV thrombolysis for ischemic stroke
| Autor: | Carla Bentes, Pedro Viana, José M. Ferro, Teresa Pinho e Melo, Carlos Morgado, Rita Peralta |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Iv thrombolysis medicine.medical_treatment Case Report Recombinant tissue-type plasminogen activator (rt-PA) Electroencephalography lcsh:RC321-571 Behavioral Neuroscience Physical medicine and rehabilitation Seizures medicine.artery medicine EEG lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry medicine.diagnostic_test business.industry Cortical myoclonus Thrombolysis Neurophysiology Surgery Back-average analysis medicine.anatomical_structure Neurology Cerebral infarct Ischemic stroke Middle cerebral artery Upper limb Neurology (clinical) business |
| Zdroj: | Epilepsy and Behavior Case Reports, Vol 2, Iss C, Pp 186-188 (2014) Epilepsy & Behavior Case Reports |
| ISSN: | 2213-3232 |
| DOI: | 10.1016/j.ebcr.2014.09.004 |
| Popis: | We describe a patient with an acute middle cerebral artery ischemic stroke developing subtle involuntary movements of the paretic upper limb with cortical origin during rt-PA perfusion. Despite the multiple potential pathophysiological mechanisms for the relationship between thrombolysis and epileptic activity, seizures during this procedure are scarcely reported. Our hypothesis is that subtle and transient clinical seizures, like those described in our patient, may not be detected or are misdiagnosed as nonepileptic involuntary movements. We aimed to draw attention to the recognition challenge of this paroxysmal motor behavior, highlighting this clinical and neurophysiological identification using video recording and back-average analysis of the EEG. |
| Databáze: | OpenAIRE |
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