일과성허혈발작으로 오인한 뇌미세출혈로 유발된 경련발작
Cerebral Microbleed Induced Seizure Misdiagnosed with Transient Ischemic Attack
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초록
Diagnosis of transient ischemic attack has been entirely dependent on the clinical history due to the absence of brain magnetic resonance imaging lesion. It is challenging to distinguish between transient ischemic attack and transient ischemic attack-mimics. Cerebral microbleeds would be found in 11.1-23.5% of incidental findings in elderly population. However, cerebral microbleeds have been known to lead to cognitive decline, dementia, seizure and even status epilepticus. We report a case of cerebral microbleeds induced epileptic seizure, visiting the emergency room with sudden onset unilateral motor weakness.
Abstract
Diagnosis of transient ischemic attack has been entirely dependent on the clinical history due to the absence of brain magnetic resonance imaging lesion. It is challenging to distinguish between transient ischemic attack and transient ischemic attack-mimics. Cerebral microbleeds would be found in 11.1-23.5% of incidental findings in elderly population. However, cerebral microbleeds have been known to lead to cognitive decline, dementia, seizure and even status epilepticus. We report a case of cerebral microbleeds induced epileptic seizure, visiting the emergency room with sudden onset unilateral motor weakness.
참고문헌 (9)
- Sheehan OC, "Diagnostic usefulness of the ABCD2 score to distinguish transient ischemic attack and minor ischemic stroke from noncerebrovascular events : the North Dublin TIA Study", Stroke, 40, pp.3449~3454 (2009)
- Gibbs RG, "Diagnosis and initial management of stroke and transient ischemic attack across UK health regions from 1992 to 1996 : experience of a national primary care database", Stroke, 32, pp.1085~1090 (2001)
- Ferro JM, "Diagnosis of transient ischemic attack by the nonneurologist. A validation study", Stroke, 27, pp.2225~2229 (1996)
- Bentes C, "Usefulness of EEG for the differential diagnosis of possible transient ischemic attack", Clin Neurophysiol Pract, 18, pp.11~19 (2017)
- Greenberg SM, "Cerebral microbleeds : a guide to detection and interpretation", Lancet Neurol, 2009, pp.165~174 (2009)
- Naka H, "Antiplatelet therapy as a risk factor for microbleeds in intracerebral hemorrhage patients : analysis using specific antiplatelet agents", J Stroke Cerebrovasc Dis, 22, pp.834~840 (2013)
- Jeon SB, "Acute cerebral microbleeds in refractory status epilepticus", Epilepsia, 54, pp.e66~e68 (2013)[DOI]
- Biffi A, "Delayed seizures after intracerebral haemorrhage", Brain, 139, pp.2694~2705 (2016)
- Rossi C, "Incidence and predictors of late seizures in intracerebral hemorrhages", Stroke, 44, pp.1723~1725 (2013)