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

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

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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 click here the left side.An MR scan showed a left-sided 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 read more function was excellent.In patients with symptoms of disturbances of posterior circulation after epileptic seizures, VAD should be considered.