Abstract
Both stroke and seizures have varied clinical presentations and their differentiation in the acute setting is not always straightforward. We present the case of a patient who presented at the emergency room with acute onset aphasia. Clinically acute ischemic stroke was suspected. Perfusion CT was performed and demonstrated cortical hypervascularity in the left partietotemporal region. Additional MRI and EEG were performed and a final diagnosis of postictal aphasia was made. This case illustrates that perfusion CT is not only a useful tool for acute stroke management, but can also aid in the detection of seizures in patients presenting with stroke-like symptoms.
Highlights
Stroke is a clinical diagnosis characterized by the acute onset of focal neurological symptoms
Additional magnetic resonance imaging (MRI) and EEG were performed and a final diagnosis of postictal aphasia was made. This case illustrates that perfusion CT is a useful tool for acute stroke management, but can aid in the detection of seizures in patients presenting with stroke-like symptoms
In this paper we demonstrate the utility of perfusion CT in differentiating acute ischemic stroke from seizure by presenting the case of a patient with isolated postictal aphasia, followed by a brief review of the literature
Summary
Stroke Versus Seizure – Perfusion Computerized Tomography in a Patient with Aphasia. Both stroke and seizures have varied clinical presentations and their differentiation in the acute setting is not always straightforward. We present the case of a patient who presented at the emergency room with acute onset aphasia. Perfusion CT was performed and demonstrated cortical hypervascularity in the left partietotemporal region. Additional MRI and EEG were performed and a final diagnosis of postictal aphasia was made. This case illustrates that perfusion CT is a useful tool for acute stroke management, but can aid in the detection of seizures in patients presenting with stroke-like symptoms
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