a 73-year-old female patient developed a generalized tonic-clonic seizure on the 6th day after treatment with moxifloxacin 400 mg daily intravenously for appendicitis. this patient had atrial fibrillation and history of a surgery for intracerebral hemorrhage, with impaired renal function and liver function, but without history of seizures. moxifloxacin was discontinued and switched to cefuroxim...

OBJECTIVE To study the clinical features and genetics of idiopathic generalised epilepsy (IGE) beginning in adult life. METHODS Consecutive patients with IGE, defined as generalised seizures with spike or polyspike and wave on EEG, were studied in the setting of a first seizure clinic where an early postictal EEG record is part of the protocol. Patients were divided into two groups: "classica...

The patient, with prior intractable epilepsy since 22years, presented at 20 weeks of gestation. Her seizures were described as seeing left sided flashing light followed by impaired consciousness with head turning to the left side. This may be followed by secondary generalized tonic-clonic activity. She was on multiple anti-epileptic drugs (AEDs), and had Vagal Nerve Stimulator (VNS) implanted 5...

We report on a 30-year-old female patient, with biological mitral valve prosthesis due to symptomatic mitral stenosis and a history of acute myocardial infarction and generalized tonic-clonic seizure episodes, visual hallucinations, cerebral thromboembolic events and, at present, chorea and acute carditis. The patient was diagnosed with active rheumatic fever (RF), systemic lupus erythematosus ...

Placing of sewing needles in the brain through the anterior fontanel is a rare entity. There are very few cases reported in literature. Most of them were asymptomatic, but some of them presented with seizure. We report here a 14-year-old boy, who was admitted to the Pediatric Neurology Department with a history of generalized tonic-clonic seizures due to sewing needle located in the frontal lobe.

We herein present the first reported case of reversible cerebral vasoconstriction syndrome (RCVS) in Takayasu's arteritis (TA), in a patient with severe thunderclap headache and generalized tonic-clonic seizure. Magnetic resonance imaging and angiography revealed posterior reversible encephalopathy syndrome, followed by severe vasoconstriction in multiple arteries. RCVS should be included in th...

Takotsubo cardiomyopathy is a transient left-ventricular dysfunction that typically occurs in elderly women due to emotional or physical stress. An 85-y-old woman underwent flexible bronchoscopy to evaluate her malignant lymphoma. After flexible bronchoscopy, she experienced takotsubo cardiomyopathy diagnosed by left ventriculography and subsequent generalized tonic-clonic seizure diagnosed by ...

Aripiprazole, a third-generation antipsychotic, has been considered to have a high safety profile and rare withdrawal symptoms. We reported the case of a schizophrenic patient with a significant obsession, who was treated with a high dosage of aripiprazole and fluoxetine. Generalized tonic-clonic seizure occurred two days after abruptly stopping these two medications. Gradually tapering aripipr...

2. Saleh is a 2-year-old male who presented with a self-aborted generalized tonic clonic seizure, which lasted for few minutes with high-grade fever due to pharyngitis. His father who is now a mathematics teacher, used to have seizures with fever between ages 2-4 years. Saleh’s mother is asking whether her child is going to be epileptic in future or not. Best response is that you would tell her...

An emergent coronary angiogram was performed and it showed an occluded distal left circumflex artery (LCX) (Figure 1A). Sodium heparin (70 UI/kg), acetylsalicylic acid 250 mg, 75 mg clopidogrel and an intracoronary bolus of abciximab (17,5 mg) were administered before percutaneous coronary intervention (PCI). Two minutes after, he acutely developed a generalized tonic-clonic seizure accompanied...