CLINICAL CASE STUDY ISCHEMIC STROKE AND EPILEPTIC STATUS
Keywords:
ischemic stroke, neurologic deficit, thrombolysis, epileptic status, electroencephalogram, antiepileptic medications, pulmonary statusAbstract
Symptoms in ischemic stroke and those during and after an epileptic seizure can be a differential diagnosis problem. These two conditions, though rarely, can manifest at the same time in the same patient. It is important that they are quickly demarcated in order to treat the different etiological and pathogenetic mechanisms accordingly. Here we present the case of a 56-year-old male with history of epilepsy, which during a routine EEG develops acute left side limb weakness. CT of the brain showed no signs of acute ischemic stroke or hemorrhage, so treatment with Actilyse was started. The immediate reaction of the medical team in assessing the condition and the treatment that followed are the reasons the patient managed to overcome the neurologic deficit.
