Partial motor status epilepticus as a clinical manifestation of carotid stenosis.
Limb shaking (LS) is often confused with focal motor seizures. Distinguishing between both is crucial, because LS may represent an indicator of severe carotid occlusive disease and patients are at high risk of stroke. We report the case of a patient with occlusive carotid stenosis without definite stroke who develops partial motor status epilepticus (SE). Clinical, neuroimaging and electroencephalographic findings are provided. We conclude that focal motor seizures should be distinguished from LS based on clinical and electroencephalographic findings.
Ribacoba
Renée
R
Service of Neurology, Hospital Universitario Central de Asturias, Oviedo, Astuias, Spain. rribacoba@gmail.com.
Menéndez-González
Manuel
M
Calleja
Sergio
S
Salas-Puig
Javier
J
de la Vega
Vanessa
V
J Neurol Neurosurg Psychiatry. 1998 Oct;65(4):561-4
9771785
Can Med Assoc J. 1962 Jun 16;86:1091-9
13893225
Brain Res Brain Res Rev. 1989 Jul-Sep;14(3):227-43
2553182
Neurology. 2004 Oct 26;63(8):1519-21
15505181
Neuropathol Appl Neurobiol. 2001 Dec;27(6):481-95
11903931
Stroke. 1990 Feb;21(2):341-7
2406995
BMC Neurol. 2006 Jan 26;6:5
16438706
Epilepsy Behav. 2006 May;8(3):677-80
16495157
Stroke. 1985 May-Jun;16(3):444-8
4002258
J Neuroradiol. 2009 Mar;36(1):48-51
18835645
Psychiatry Clin Neurosci. 1995 Mar;49(1):71-2
8608439
Eur Neurol. 1996;36(1):20-4
8719645