title: Partial motor status epilepticus as a clinical manifestation of carotid stenosis.
abstract: 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.
authors.affiliation: Service of Neurology, Hospital Universitario Central de Asturias, Oviedo, Astuias, Spain. rribacoba@gmail.com.
authors.forename: Renée
authors.initials: R
authors.lastname: Ribacoba
authors.forename: Manuel
authors.initials: M
authors.lastname: Menéndez-González
authors.forename: Sergio
authors.initials: S
authors.lastname: Calleja
authors.forename: Javier
authors.initials: J
authors.lastname: Salas-Puig
authors.forename: Vanessa
authors.initials: V
authors.lastname: de la Vega
references.citation: J Neurol Neurosurg Psychiatry. 1998 Oct;65(4):561-4
references.pmid: 9771785
references.citation: Can Med Assoc J. 1962 Jun 16;86:1091-9
references.pmid: 13893225
references.citation: Brain Res Brain Res Rev. 1989 Jul-Sep;14(3):227-43
references.pmid: 2553182
references.citation: Neurology. 2004 Oct 26;63(8):1519-21
references.pmid: 15505181
references.citation: Neuropathol Appl Neurobiol. 2001 Dec;27(6):481-95
references.pmid: 11903931
references.citation: Stroke. 1990 Feb;21(2):341-7
references.pmid: 2406995
references.citation: BMC Neurol. 2006 Jan 26;6:5
references.pmid: 16438706
references.citation: Epilepsy Behav. 2006 May;8(3):677-80
references.pmid: 16495157
references.citation: Stroke. 1985 May-Jun;16(3):444-8
references.pmid: 4002258
references.citation: J Neuroradiol. 2009 Mar;36(1):48-51
references.pmid: 18835645
references.citation: Psychiatry Clin Neurosci. 1995 Mar;49(1):71-2
references.pmid: 8608439
references.citation: Eur Neurol. 1996;36(1):20-4
references.pmid: 8719645