1. When seizures are not trivial!
- Author
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Prisca-Rolande Bassole, Mendinatou Agbetou, Maouly Fall, Marième Soda Diop-Sene, Anna Modji Basse-Faye, Adjaratou Dieynabou Sow, Lala Bouna Seck, Moustapha Ndiaye, Amadou Gallo Diop, and Mouhamadou Mansour Ndiaye
- Subjects
posttraumatic epilepsy ,traumatic brain injury ,intracerebral bullet fragments ,Medicine - Abstract
We report the case of a 29 year old woman with post traumatic epilepsy which began at 20 year old. She presented multi-daily absence seizures, motor automatisms and headaches. Brain CT-scan performed, highlighted several punctiform hyperdense images like calcifications leading to the conclusion of intracerebral and subcutaneous bullet fragments. Her personal history reported head injuries at the age of 2 years in a context of unexplored and little followed armed conflict. Awake and sleep EEG found a well-organized EEG diagram with diffuse inter ictal spikes and spike-waves discharges mainly in bi-fronto-temporal area compatible with focal epilepsy with secondary generalization. Valproic acid 1500 mg/day had been used and evolution at 3 months (April 2020) found no seizures increasing, sometimes headaches relieved by drugs.
- Published
- 2020
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