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

• Main Authors: Faisal Mohammad Amin, Vibeke Andrée Larsen, Peer Tfelt-Hansen
• Format: Article
• Language: English
• Published: Karger Publishers 2013-07-01
• Series: Case Reports in Neurology
• Subjects: Seizure; Vertebral artery; Dissection; Stroke
• Online Access: http://www.karger.com/Article/FullText/354033

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.