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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Vertebral artery dissection associated with generalized convulsive seizures: a case report

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A 46-year-old male with juvenile myoclonic epilepsy was admitted to the neurological department for convulsive seizures just after lamotrigine was discontinued. On admission he was awake but had a right-sided hemiparesis with Babinski sign and ataxic finger-nose test on the left side. An MR scan showed a left-sided pontine infarction, an infarct in the left cerebellar hemisphere and a right vertebral artery dissection (VAD). The patient was treated with heparin and an oral anticoagulant for 6 months. Recovery of neurologic function was excellent. In patients with symptoms of disturbances of posterior circulation after epileptic seizures, VAD should be considered.
Original languageEnglish
Book seriesCase Reports in Neurology
Volume5
Issue number2
Pages (from-to)125-9
Number of pages5
ISSN1662-680X
DOIs
Publication statusPublished - May 2013

ID: 38936028