Stroke mimic: Perfusion magnetic resonance imaging of a patient with ictal paralysis

We present an uncommon case of clinically diagnosed window period stroke subsequently recognised on diffusion - perfusion MRI as ictal paralysis due to focal inhibitory seizures or negative motor seizures. This case highlights the importance of MRI with perfusion imaging in establishing the diagnosi...

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Veröffentlicht in:	Journal of postgraduate medicine 2016-10, Vol.62 (4), p.264-266
Hauptverfasser:	Sanghvi, D, Goyal, C, Mani, J
Format:	Artikel
Sprache:	eng
Schlagworte:	Brain - blood supply Brain - physiopathology Care and treatment Case Report Cerebrovascular Circulation Diagnosis Diffusion Magnetic Resonance Imaging - methods Electroencephalography Epilepsy - physiopathology Female Humans Magnetic Resonance Angiography - methods Magnetic resonance imaging Magnetic Resonance Imaging - methods Middle Aged Paralysis Stroke Stroke - diagnostic imaging Stroke - pathology Stroke - therapy
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Beschreibung
Zusammenfassung:	We present an uncommon case of clinically diagnosed window period stroke subsequently recognised on diffusion - perfusion MRI as ictal paralysis due to focal inhibitory seizures or negative motor seizures. This case highlights the importance of MRI with perfusion imaging in establishing the diagnosis of stroke mimics and avoiding unnecessary thrombolysis.
ISSN:	0022-3859 0972-2823
DOI:	10.4103/0022-3859.192662