Vertebral Artery Dissection Associated with Generalized Convulsive Seizures: A Case Report

Vertebral Artery Dissection Associated with Generalized Convulsive Seizures: A Case Report

Blog Article

A 46-year-old male with juvenile myoclonic epilepsy was admitted to the neurological department for convulsive seizures just after lamotrigine was discontinued.On admission he was awake but had a right-sided hemiparesis with Babinski sign and ataxic finger-nose test on the left side.An MR scan showed a left-sided 30x24x24 wall cabinet pontine infarction, an infarct in the left cerebellar hemisphere and a right vertebral artery dissection (VAD).The patient was treated with heparin and an oral anticoagulant for 6 months.Recovery of neurologic function was excellent.

In patients with symptoms of disturbances of posterior circulation after epileptic seizures, VAD hyfrodol should be considered.