Non-convulsive seizure clustering misdiagnosed as vertebrobasilar insufficiency.

ola Kala shared this article with you from Inoreader Non-convulsive seizure clustering misdiagnosed as vertebrobasilar insufficiency. Μέσω pubmed: vertigo treatment Related Articles Non-convulsive seizure clustering misdiagnosed as vertebrobasilar insufficiency. Heliyon. 2020 Nov;6(11):e05376 Authors: Chen YS, Chen TS, Huang CW Abstract Diagnosing non-convulsive seizures (NCSs) is a great challenge for most clinicians due to a wide spectrum of clinical presentations. The complexity of the disease course usually results in a delayed diagnosis or misdiagnosis so that timely and appropriate treatment is not given. Herein, we report a case with NCSs misdiagnosed as vertebrobasilar insufficiency (VBI), in which the patient suffered from episodes of prominent dizziness, vertigo, becoming transfixed, and worsening response within a day. Brain magnetic resonance image findings were unremarkable, however electroencephalography (EEG) showed rhythmic epileptiform discharges that appeared to originate from the right frontal area with ipsilateral hemispheric involvement. We prescribed intravenous valproate and the seizures ceased. Few studies have reported a patient with NCS misdiagnosed with VBI, a very different entity. It is thus important that clinicians should be aware of the trivial symptoms of NCSs, and to conside r implementing early EEG studies and anti-epileptic drug therapy. PMID: 33209999 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.