Are there any correlations between embolic stroke and previous post-traumatic epilepsy? _ Study from a case report

3rd Annual Applied Science and Engineering Conference

工业技术;自然科学

Santosa, W.^1,4 ; Kalanjati, V.P.^2 ; Machin, A.^3

Program of Basic Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia^1

Department of Anatomy and Histology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia^2

Department of Neurology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia^3

Department of Anatomy and Histology, Faculty of Medicine, Universitas Surabaya, Surabaya, Indonesia^4

关键词: Case reports;    Cerebral arteries;    Cerebral blood flow;    Embolic strokes;    Facial palsy;    Intra-cranial pressure;    Myocardial infarcts;    Traumatic Brain Injuries;   

Others  :  https://iopscience.iop.org/article/10.1088/1757-899X/434/1/012326/pdf
DOI  :  10.1088/1757-899X/434/1/012326

来源: IOP

【 摘 要 】

Stroke is one of the world's highest causes of morbidity and mortality. In USA, 50-100 of 100.000 people / year were suffered from the stroke. Post-traumatic epilepsy (PTE) is a form of epilepsy occurs after a traumatic brain injury. This injury arguably causing an embolic stroke due to the blood clot emboli of the brain artery after trauma; this might be worsened by underlying diseases including myocardial infarct. A-56 years old man experienced seizures and then weakness in the right side of the upper and lower limb and also right-side of the face, with decreased consciousness after having a seizure and fall to the floor because of it. The patient had right hemiparesis with a negative Babinski reflex; the patient also had a right central facial palsy, right central type lingual and motor aphasia. This patient has an old myocardial infarct (inferior and antero-septal) that yet been treated properly. Difficulties in talking and weakness of the right-side of the limbs and face might occur as a result of the emboli in the left side of the cerebral artery branches; with decreased consciousness was likely due to the increased intracranial pressure. The emboli may be resulted from the blood clot produced after the fall when the patient was having a seizure; and / or from the emboli of the untreated old myocardial infarct. In this case, radiology imaging may confirm the diagnosis thus the treatment; in which disrupted cerebral blood flow is likely underpinning the neuropathology observed.