Bhatt Shubhang K, Dawit Sara, Okazaki Erin M, Noe Katherine H
Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, AZ.
Department of Neurology, Mayo Clinic, Scottsdale, AZ.
Mayo Clin Proc Innov Qual Outcomes. 2021 Feb 11;5(2):511-515. doi: 10.1016/j.mayocpiqo.2020.12.002. eCollection 2021 Apr.
Seizures are uncommon with posterior circulation strokes. They are more often associated with anterior circulation strokes, with only a limited number of cases of status epilepticus reported to be related to brain stem ischemia. The literature includes case reports of generalized tonic-clonic seizures and associated status epilepticus as an initial presentation of acute basilar artery thrombosis. However, there are only rare cases reporting focal motor seizure as status epilepticus in the setting of acute basilar artery thrombosis, an important clinical presentation that should prompt evaluation for acute brain stem ischemia.
后循环卒中很少出现癫痫发作。癫痫发作更常与前循环卒中相关，仅有少数癫痫持续状态病例报告与脑干缺血有关。文献中有关于全身强直阵挛性发作及相关癫痫持续状态作为急性基底动脉血栓形成初始表现的病例报告。然而，仅有罕见病例报道在急性基底动脉血栓形成情况下局灶性运动性癫痫发作作为癫痫持续状态，这是一种重要的临床表现，应促使对急性脑干缺血进行评估。
