title: Stroke mimic: Perfusion magnetic resonance imaging of a patient with ictal paralysis.
abstract: 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.
authors.affiliation: Department of Radiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
authors.forename: D
authors.initials: D
authors.lastname: Sanghvi
authors.affiliation: Department of Radiology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
authors.forename: C
authors.initials: C
authors.lastname: Goyal
authors.affiliation: Department of Neurology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
authors.forename: J
authors.initials: J
authors.lastname: Mani
mesh_terms: D001921:Brain / Q000098:blood supply* / Q000503:physiopathology; D002560:Cerebrovascular Circulation; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods*; D004569:Electroencephalography; D004827:Epilepsy / Q000503:physiopathology*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D020521:Stroke / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy