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Convulsive-like movements as the first symptom of basilar artery occlusive brainstem infarction:A case report

World Journal of Clinical Cases 2022年第14期10卷 4569-4573页

作者： Ting-Ling Wang Gang Wu Su-Zhi Liu Department of Neurology Taizhou Hospital affiliated to Wenzhou Medical UniversityLinhai 317000Zhejiang ProvinceChina

BACKGROUND Convulsive-like movements are rare in basilar artery occlusive cerebral infarction(BAOCI).These manifestations may easily be mistaken for epileptic seizures caused by compromised anterior circulation or by cortical *** diagnosis of this condition affects its subsequent treatment and ***,it is critical to recognize this type of phenomenon in the early *** SUMMARY A 55-year-old male patient presented with unconsciousness,rigidity,and a paroxysmal twitch in both lower *** conditions lasted for nearly 2 h and resembled status *** the initial conditions subsided,hemiplegia occurred and then subsided *** family refused thrombolytic therapy because the symptoms were similar to Todd paralysis after ***,magnetic resonance imaging showed left pontine *** abnormality was observed in a video electroencephalogram during the interictal *** subtraction angiography revealed that the basilar artery was occluded and that the posterior communicating arteries were ***,the patient received a good prognosis after antiplatelet therapy,lipid regulation,balloon dilatation of the basilar artery,and *** Convulsive-like movements may be an early sign of basilar artery occlusive brainstem *** is important to identify this phenomenon in a timely manner.

关键词： Convulsive-like movements Basilar artery occlusion brainstem infarction Stroke Epilepsy Case report

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Prognostic value of dynamic electroencephalogram in comatose patients with different diseased regions

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Neural Regeneration Research 2007年第7期2卷 421-424页

作者： Huapin Huang Chunhui Che An Zheng Xiaoyun Zhuang Fang Jiang Nan Liu Department of Neurology Union Hospital of Fujian Medical University Fuzhou 350001 Fujian Province China

BACKGROUND： It has proved that dynamic electroencephalogram （EEG） is definite in judging the outcome of ischemic hypoxic comatose patients, EEG is more sensitive to the cortical affection, but not sensitive to the subcortical and brainstem affections, thus it is necessary to clarify the indications of this technique in the clinical application.OBJECTIVE： To observe and compare the prognostic value of dynamic EEG and Glasgow coma score in comatose patients with different diseased region.DESIGN： A clinical case-controlled observation.SETTING： Union Hospital of Fujian Medical University.PARTICIPANTS： Sixty-eight comatose patients were selected from the Union Hospital affiliated to Fujian Medical University from June 1998 to January 2005. The diseased regions were identified using cranial CT （n =43） or MR （n =25）. According to different primarily diseased regions, the comatose patients were divided into two groups： ① brainstem affection group （n =23）： 13 males and 10 females, 14 - 62 years of age; ②diffuse cortical affection group （n =45）： 28 males and 17 females, 23 - 75 years of age.METHODS： The dynamic EEG and Glasgow coma score were examined in the 45 comatose patients with primarily cortical affection and 22 comatose patients with primarily brainstem affection at acute phase. The patients were followed-up for 3 months to observe the outcome, The termination of outcome judgment was 3 months after attack or the death. The clinical outcome was classified as complete rehabilitation, survived with disability, death or vegetative state. Correlations of dynamic EEG and Glasgow coma score with the outcome of patients were analyzed. The correlations of dynamic EEG grades and Glasgow coma scores with the outcome were analyzed, and the prognostic value of dynamic EEG grades was compared between the two groups.MAIN OUTCOME MEASURES： ① Correlations of dynamic EEG and Glasgow coma score with the outcome of patients; ② Comparison of the prognostic value of dynamic EEG

关键词： dynamic electroencephalogram brainstem infarction coma outcome cerebral cortex

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