12/24/2023 0 Comments Medulla hint brain stem function![]() Convulsive-like movements in brainstem stroke may occur more frequently than reported. Unexpected onset and inexperience of the observers limit the characterization of this phenomenon. We review the frequency and nature of convulsive-like movements in brainstem stroke in the literature.Ĭonclusions Movements associated with brainstem lesions are not easily differentiated from convulsions. Two days after admission, the patient had a cardiac arrest and died. Anticoagulation with intravenous heparin was started. No seizure discharges were observed in the electroencephalogram. Magnetic resonance angiography revealed the absence of basilar artery blood flow. Magnetic resonance imaging showed large midpontine infarction. They were observed in paroxysms lasting for 3 to 5 seconds. These episodes consisted of brief clonic contractions of the proximal and distal upper extremities. Observation A 72-year-old-man presented with impaired consciousness and jerks of the upper limbs mimicking seizures. It is important to recognize this type of motor phenomenon since it may be a diagnostic clue for early diagnosis and treatment of brainstem strokes.ĭesign Case report and review of the literature. Some are interpreted as decerebrate postures or seizures. These movements vary in nature, frequency, and trigger, including fasciculation-like, shivering, jerky, tonic-clonic, and intermittent shaking movements. Shared Decision Making and Communicationīackground Involuntary convulsive-like movements sometimes occur in patients with brainstem strokes. ![]() Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography. ![]()
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