J Korean Neurol Assoc.  2019 Nov;37(4):396-399. 10.17340/jkna.2019.4.12.

Cerebral Microbleed Induced Seizure Misdiagnosed with Transient Ischemic Attack

Affiliations
  • 1Department of Neurology, Konyang University College of Medicine, Daejeon, Korea. ysh3687@kyuh.ac.kr

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.

Keyword

Transient ischemic attack; Cerebral microbleeds; Seizures

MeSH Terms

Aged
Brain
Dementia
Diagnosis
Emergency Service, Hospital
Epilepsy
Humans
Incidental Findings
Ischemic Attack, Transient*
Magnetic Resonance Imaging
Seizures*
Status Epilepticus
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