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When seizures are not trivial!
- Source :
- PAMJ Clinical Medicine, Vol 3, Iss 77 (2020)
- Publication Year :
- 2020
- Publisher :
- PAMJ, 2020.
-
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.
Details
- Language :
- English, French
- ISSN :
- 27072797
- Volume :
- 3
- Issue :
- 77
- Database :
- Directory of Open Access Journals
- Journal :
- PAMJ Clinical Medicine
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.7fdd71f5c9f747d697322fe101a20768
- Document Type :
- article
- Full Text :
- https://doi.org/10.11604/pamj-cm.2020.3.77.23431