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Karger Publishers, Case Reports in Neurology, 2(5), p. 125-129, 2013

DOI: 10.1159/000354033

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Vertebral Artery Dissection Associated with Generalized Convulsive Seizures: A Case Report

Journal article published in 2013 by Vibeke Andrée Larsen, Faisal Mohammad Amin ORCID, Peer Tfelt-Hansen
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

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.