title: [Cardioembolic stroke manifested by isolated tonic seizure of the left upper limb].
abstract: We reported a 61-year old man with cardioembolic stroke manifested by isolated tonic seizure of the left upper limb. He had a history of chronic atrial fibrillation and transient ischemic attack. He was brought to our hospital by ambulance, when he suddenly had isolated tonic seizure of left upper limb. On admission, he had no neurological symptoms and signs. Brain diffusion weighted MR image disclosed high intensity area in the right parietal lobe, although T2-weighted image did not show any abnormalities. On 8th day, a high intensity area was observed both on the diffusion-weighted and T2-weighted MR images. In case of isolated tonic seizure of left upper limb, careful examination of stroke is required especially if the patient had a high risk of stroke.
authors.affiliation: Department of Neurology, Kumamoto City Hospital.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Suga
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kawano
authors.forename: Tadashi
authors.initials: T
authors.lastname: Terasaki
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Masaki
authors.initials: M
authors.lastname: Naganuma
authors.forename: Teruyuki
authors.initials: T
authors.lastname: Hirano
authors.forename: Makoto
authors.initials: M
authors.lastname: Uchino
mesh_terms: D001132:Arm; D003327:Coronary Disease / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012640:Seizures / Q000209:etiology*; D020521:Stroke / Q000150:complications* / Q000175:diagnosis*