A patient with atonic seizures mimicking transient ischemic attacks

A focal atonic seizure is a partial seizure in which the ictal manifestation consists of paresis of the extremities or muscles on one side of the body, and this phenomenon can easily be misdiagnosed as a transient ischemic attack. An 86-year-old woman visited our hospital complaining of transient ri...

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Main Authors:	Kang, Min-Ju, Choi, Jun Young, An, Young-Sil, Park, Ki-Hyung, Park, Hyeon-Mi, Lee, Yeong-Bae, Shin, Dong-Jin, Sung, Young Hee, Shin, Dong Hoon
Format:	Online
Language:	English
Published:	Elsevier 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389206/

id	pubmed-4389206
recordtype	oai_dc
spelling	pubmed-43892062015-04-13 A patient with atonic seizures mimicking transient ischemic attacks Kang, Min-Ju Choi, Jun Young An, Young-Sil Park, Ki-Hyung Park, Hyeon-Mi Lee, Yeong-Bae Shin, Dong-Jin Sung, Young Hee Shin, Dong Hoon Case Report A focal atonic seizure is a partial seizure in which the ictal manifestation consists of paresis of the extremities or muscles on one side of the body, and this phenomenon can easily be misdiagnosed as a transient ischemic attack. An 86-year-old woman visited our hospital complaining of transient right upper extremity weakness lasting for 10 min following an unusual sensation in her chest accompanied by palpitations. On the third hospital day, she again complained of right arm weakness, which progressed to jerky movements of her right extremity accompanied by facial twitching and then generalized into a tonic–clonic seizure. The EEG displayed several interictal spikes in the contralateral temporal area, and the ictal SPECT, analyzed using the SISCOM system, showed an increased signal in both the contralateral superior parietal area and the mesial frontal area. In this case, the patient was diagnosed with focal atonic seizures as the cause of the monolimb weakness, which had been initially misdiagnosed aas transient ischemic attacks. In cases in which a patient presents with monolimb paresis, physicians should consider the possibility of an atonic seizure as the cause. Elsevier 2015-04-02 /pmc/articles/PMC4389206/ /pubmed/25870790 http://dx.doi.org/10.1016/j.ebcr.2015.03.001 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Kang, Min-Ju Choi, Jun Young An, Young-Sil Park, Ki-Hyung Park, Hyeon-Mi Lee, Yeong-Bae Shin, Dong-Jin Sung, Young Hee Shin, Dong Hoon
spellingShingle	Kang, Min-Ju Choi, Jun Young An, Young-Sil Park, Ki-Hyung Park, Hyeon-Mi Lee, Yeong-Bae Shin, Dong-Jin Sung, Young Hee Shin, Dong Hoon A patient with atonic seizures mimicking transient ischemic attacks
author_facet	Kang, Min-Ju Choi, Jun Young An, Young-Sil Park, Ki-Hyung Park, Hyeon-Mi Lee, Yeong-Bae Shin, Dong-Jin Sung, Young Hee Shin, Dong Hoon
author_sort	Kang, Min-Ju
title	A patient with atonic seizures mimicking transient ischemic attacks
title_short	A patient with atonic seizures mimicking transient ischemic attacks
title_full	A patient with atonic seizures mimicking transient ischemic attacks
title_fullStr	A patient with atonic seizures mimicking transient ischemic attacks
title_full_unstemmed	A patient with atonic seizures mimicking transient ischemic attacks
title_sort	patient with atonic seizures mimicking transient ischemic attacks
description	A focal atonic seizure is a partial seizure in which the ictal manifestation consists of paresis of the extremities or muscles on one side of the body, and this phenomenon can easily be misdiagnosed as a transient ischemic attack. An 86-year-old woman visited our hospital complaining of transient right upper extremity weakness lasting for 10 min following an unusual sensation in her chest accompanied by palpitations. On the third hospital day, she again complained of right arm weakness, which progressed to jerky movements of her right extremity accompanied by facial twitching and then generalized into a tonic–clonic seizure. The EEG displayed several interictal spikes in the contralateral temporal area, and the ictal SPECT, analyzed using the SISCOM system, showed an increased signal in both the contralateral superior parietal area and the mesial frontal area. In this case, the patient was diagnosed with focal atonic seizures as the cause of the monolimb weakness, which had been initially misdiagnosed aas transient ischemic attacks. In cases in which a patient presents with monolimb paresis, physicians should consider the possibility of an atonic seizure as the cause.
publisher	Elsevier
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389206/
_version_	1613208849283547136

A patient with atonic seizures mimicking transient ischemic attacks

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