Speciality Medical Dialogues
    • facebook
    • twitter
    Login Register
    • facebook
    • twitter
    Login Register
    • Medical Dialogues
    • Education Dialogues
    • Business Dialogues
    • Medical Jobs
    • Medical Matrimony
    • MD Brand Connect
    Speciality Medical Dialogues
    • Editorial
    • News
        • Anesthesiology
        • Cancer
        • Cardiac Sciences
        • Critical Care
        • Dentistry
        • Dermatology
        • Diabetes and Endo
        • Diagnostics
        • ENT
        • Featured Research
        • Gastroenterology
        • Geriatrics
        • Medicine
        • Nephrology
        • Neurosciences
        • Nursing
        • Obs and Gynae
        • Ophthalmology
        • Orthopaedics
        • Paediatrics
        • Parmedics
        • Pharmacy
        • Psychiatry
        • Pulmonology
        • Radiology
        • Surgery
        • Urology
    • Practice Guidelines
        • Anesthesiology Guidelines
        • Cancer Guidelines
        • Cardiac Sciences Guidelines
        • Critical Care Guidelines
        • Dentistry Guidelines
        • Dermatology Guidelines
        • Diabetes and Endo Guidelines
        • Diagnostics Guidelines
        • ENT Guidelines
        • Featured Practice Guidelines
        • Gastroenterology Guidelines
        • Geriatrics Guidelines
        • Medicine Guidelines
        • Nephrology Guidelines
        • Neurosciences Guidelines
        • Obs and Gynae Guidelines
        • Ophthalmology Guidelines
        • Orthopaedics Guidelines
        • Paediatrics Guidelines
        • Psychiatry Guidelines
        • Pulmonology Guidelines
        • Radiology Guidelines
        • Surgery Guidelines
        • Urology Guidelines
    LoginRegister
    Speciality Medical Dialogues
    LoginRegister
    • Home
    • Editorial
    • News
      • Anesthesiology
      • Cancer
      • Cardiac Sciences
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endo
      • Diagnostics
      • ENT
      • Featured Research
      • Gastroenterology
      • Geriatrics
      • Medicine
      • Nephrology
      • Neurosciences
      • Nursing
      • Obs and Gynae
      • Ophthalmology
      • Orthopaedics
      • Paediatrics
      • Parmedics
      • Pharmacy
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
    • Practice Guidelines
      • Anesthesiology Guidelines
      • Cancer Guidelines
      • Cardiac Sciences Guidelines
      • Critical Care Guidelines
      • Dentistry Guidelines
      • Dermatology Guidelines
      • Diabetes and Endo Guidelines
      • Diagnostics Guidelines
      • ENT Guidelines
      • Featured Practice Guidelines
      • Gastroenterology Guidelines
      • Geriatrics Guidelines
      • Medicine Guidelines
      • Nephrology Guidelines
      • Neurosciences Guidelines
      • Obs and Gynae Guidelines
      • Ophthalmology Guidelines
      • Orthopaedics Guidelines
      • Paediatrics Guidelines
      • Psychiatry Guidelines
      • Pulmonology Guidelines
      • Radiology Guidelines
      • Surgery Guidelines
      • Urology Guidelines
    • Home
    • Case of the day
    • Status epilepticus in...

    Status epilepticus in brainstem stroke: Artery of percheron infarct?

    Written by Anjali Nimesh Nimesh Published On 2018-04-03T19:10:12+05:30  |  Updated On 3 April 2018 7:10 PM IST
    Status epilepticus in brainstem stroke: Artery of percheron infarct?

    Stroke-related seizures, by and large, are due to either hemorrhagic or ischemic lesion of the cerebral cortex, but subcortical lesions have also been implicated in stroke-related seizures. The occurrence of seizures in thalamic infarcts have been described in the literature, but presenting as status epilepticus is very rare. In best of authors' knowledge, there are only two case reports of status epilepticus in brainstem stroke.Dr.Maulik Panchal and associates have reported a case of 40 years male patient who presented to emergency room with a history of sudden onset vertigo and vomiting, followed by generalized tonic-clonic seizures which evolved into status epilepticus.The case has been published in the Indian Journal of Medical Specialities.


    A 40 years male patient chronic smoker, without any past medical illness, presented with a history of sudden onset vertigo and vomiting followed by loss of consciousness and recurrent episodes of the generalized tonic-clonic type of seizures without regaining consciousness in between which continued for around half an hour. He was brought to the emergency room where he was given injection lorazepam and loaded with injection phenytoin and seizures were controlled.


    There was no history of fever, headache, head trauma or intoxication. Computerized tomography(CT) of the brain was done which was normal. He was in altered sensorium (Glasgow coma scale – E1V1M2), vitals were stable except tachycardia. Pupils were dilated and sluggishly reacting to light; doll’s eye response was present. Plantar reflexes were bilateral extensor; meningeal signs were negative. His routine investigations including blood sugar, serum electrolytes were normal.


    Magnetic Resonance Imaging of BRAIN with a Diffusion-weighted image(DWI) was done as CT BRAIN was normal. MRI was suggestive of acute infarct involving midbrain and bilateral paramedian thalamic infarct without any cortical involvement (Fig. 1(A) & (B)). He was treated with intravenous phenytoin, antiplatelet & other supportive treatment, he didn’t have any further seizure episodes but his sensorium remained same during the hospital stay. A plan was to do CT angiography of Brain vessels & EEG but it couldn’t be done as patient’s relatives took leave against medical advice within first 24 h.


    The authors opine that emergency physician should be aware of this atypical clinical scenario which can facilitate early diagnosis and treatment and thereby improve disease prognosis.


    To Read the full article click on the following link: https://doi.org/10.1016/j.injms.2018.01.002

    brainstemchronic smokercomputerized tomographyCT angiographyDr Maulik PanchalepilepticusHead TraumaHeadacheIndian Journal of Medical Specialitiesintoxicationmagnetic resonance imagingseizuresstroke
    Source : with inputs Indian Journal of Medical Specialities

    Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd

    Anjali Nimesh Nimesh
    Anjali Nimesh Nimesh
      Show Full Article
      Next Story
      Similar Posts
      NO DATA FOUND

      • Email: info@medicaldialogues.in
      • Phone: 011 - 4372 0751

      Website Last Updated On : 12 Oct 2022 7:06 AM GMT
      Company
      • About Us
      • Contact Us
      • Our Team
      • Reach our Editor
      • Feedback
      • Submit Article
      Ads & Legal
      • Advertise
      • Advertise Policy
      • Terms and Conditions
      • Privacy Policy
      • Editorial Policy
      • Comments Policy
      • Disclamier
      Medical Dialogues is health news portal designed to update medical and healthcare professionals but does not limit/block other interested parties from accessing our general health content. The health content on Medical Dialogues and its subdomains is created and/or edited by our expert team, that includes doctors, healthcare researchers and scientific writers, who review all medical information to keep them in line with the latest evidence-based medical information and accepted health guidelines by established medical organisations of the world.

      Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription.Use of this site is subject to our terms of use, privacy policy, advertisement policy. You can check out disclaimers here. © 2025 Minerva Medical Treatment Pvt Ltd

      © 2025 - Medical Dialogues. All Rights Reserved.
      Powered By: Hocalwire
      X
      We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok