Stroke mimic: Perfusion magnetic resonance imaging of a patient with ictal paralysis

J Postgrad Med. 2016 Oct-Dec;62(4):264-266. doi: 10.4103/0022-3859.192662.

Abstract

We present an uncommon case of clinically diagnosed window period stroke subsequently recognised on diffusion - perfusion MRI as ictal paralysis due to focal inhibitory seizures or negative motor seizures. This case highlights the importance of MRI with perfusion imaging in establishing the diagnosis of stroke mimics and avoiding unnecessary thrombolysis.

Publication types

  • Case Reports

MeSH terms

  • Brain / blood supply*
  • Brain / physiopathology
  • Cerebrovascular Circulation
  • Diffusion Magnetic Resonance Imaging / methods*
  • Electroencephalography
  • Epilepsy / physiopathology*
  • Female
  • Humans
  • Magnetic Resonance Angiography / methods
  • Magnetic Resonance Imaging / methods*
  • Middle Aged
  • Stroke / diagnostic imaging*
  • Stroke / pathology*
  • Stroke / therapy