Summary
Five elderly hypertensive patients presented with grand mal seizures and had computed tomographic (CT) findings consistent with lacunar infarction. Three of them had also a recent hemiparesis, contralateral to the side of the CT findings. Follow-up CT scans supported the diagnosis of lacunar infarction. Contrary to the accepted opinion, generalized epileptic seizures may be the presenting symptom of lacunar brain infarction.
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Avrahami, E., Drory, V.E., Rabey, M.J. et al. Generalized epileptic seizures as the presenting symptom of lacunar infarction in the brain. J Neurol 235, 472–474 (1988). https://doi.org/10.1007/BF00314250
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DOI: https://doi.org/10.1007/BF00314250