Kamara John, Ponnusamy Suresh, Licenik Radim, Nwabufor Philip C, Rather Mohmad I
Cardiology, Peterborough City Hospital, Peterborough, GBR.
Medicine, Peterborough City Hospital, Peterborough, GBR.
Cureus. 2023 Sep 4;15(9):e44630. doi: 10.7759/cureus.44630. eCollection 2023 Sep.
We report a case of a 32-year-old lady who was admitted to the hospital with right-sided weakness that preceded an episode of seizure. On the day of admission, she woke up early in the morning with mild right-sided weakness and numbness. She had difficulty walking and later had a seizure, which was witnessed by her son. She had no signs of infection prior to this. She had no fever, chest or abdominal pain, or urinary symptoms. In the emergency department, she complained of left-sided chest tightness and heaviness, which lasted for a few minutes with associated tachycardia, electrocardiogram (ECG) was consistent with Brugada syndrome type 2. A magnetic resonant imaging (MRI) scan of her head shows a left hemispheric infarct involving the frontoparietal cortex. She was treated for an ischaemic stroke and seizure. She made a good recovery and was discharged home on secondary stroke prevention medication with community physiotherapy. She was followed up in the cardiology, genetics, and stroke outpatient clinics. The occurrence of ECG changes consistent with Brugada syndrome, stroke, and seizure in a young patient with no other risk factors for stroke is rare.
我们报告一例32岁女性病例，该患者因右侧肢体无力入院，随后出现癫痫发作。入院当天，她清晨醒来时出现轻度右侧肢体无力和麻木。她行走困难，随后发生癫痫，被她儿子目睹。在此之前她没有感染迹象。她没有发热、胸痛、腹痛或泌尿系统症状。在急诊科，她主诉左侧胸部发紧和沉重感，持续了几分钟，并伴有心动过速，心电图（ECG）符合2型Brugada综合征。她的头部磁共振成像（MRI）扫描显示左侧半球梗死，累及额顶叶皮质。她接受了缺血性中风和癫痫的治疗。她恢复良好，出院时带二级中风预防药物，并接受社区物理治疗。她在心脏病学、遗传学和中风门诊接受随访。在一名无其他中风危险因素的年轻患者中，出现与Brugada综合征、中风和癫痫一致的心电图变化是罕见的。
