Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Section 2 Headache and Pain
- Section 3 Weakness
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Case 46 A Neurological Miscarriage
- Case 47 Am I Repeating Myself?
- Case 48 A Raspberry Causing Trouble
- Case 49 Different Spells
- Case 50 Following the Eyes
- Case 51 Fuming Loss of Consciousness
- Case 52 From Skin to Brain
- Case 53 Self-Tolerance Failure
- Case 54 Not a Minor Problem
- Case 55 Seized
- Perspectives
- Index
- Plate Section (PDF Only)
- References
Case 48 - A Raspberry Causing Trouble
from Section 7 - Acute Onset of Neurological Symptoms
Published online by Cambridge University Press: 27 July 2023
Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Section 2 Headache and Pain
- Section 3 Weakness
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Case 46 A Neurological Miscarriage
- Case 47 Am I Repeating Myself?
- Case 48 A Raspberry Causing Trouble
- Case 49 Different Spells
- Case 50 Following the Eyes
- Case 51 Fuming Loss of Consciousness
- Case 52 From Skin to Brain
- Case 53 Self-Tolerance Failure
- Case 54 Not a Minor Problem
- Case 55 Seized
- Perspectives
- Index
- Plate Section (PDF Only)
- References
Summary
A 31-year-old female primary school teacher had a post-partum tonic-clonic seizure. This was in the context of HELLP syndrome (haemolysis, elevated liver enzymes and a low platelet count).
She first developed epileptic seizures at the age of 14 years. For the next five years, she had focal seizures (right arm shaking and loss of language). Milder episodes involved a feeling of impending doom before tingling in her right hand radiated up her right arm to her right shoulder with associated dysphasia. Over a number of years, she had been tried on carbamazepine, levetiracetam and lamotrigine. Off medication she could go for up to five years with no events. When assessed on this occasion, her only medication was clobazam 10 mg/day. She did not drink alcohol or smoke cigarettes. Following this presentation she had a subsequent pregnancy, having three children in total.
Information
- Type
- Chapter
- Information
- 55 Cases in NeurologyCase Histories and Patient Perspectives, pp. 325 - 330Publisher: Cambridge University PressPrint publication year: 2023
References
Munakomi, S, Torregrossa, F, Grasso, G. Natural course, clinical profile, and treatment strategies for cerebral cavernous malformations. World Neurosurg. 2022;159:373–80.CrossRefGoogle ScholarPubMed
Akers, A, Al-Shahi Salman, R, Awad, IA et al. Synopsis of guidelines for the clinical management of cerebral cavernous malformations: consensus recommendations based on systematic literature review by the Angioma Alliance Scientific Advisory Board Clinical Experts panel. Clin Neurosurg. 2017;80(5):665–80.CrossRefGoogle ScholarPubMed
Tomson, T, Battino, D, Bonizzoni, E et al. Comparative risk of major congenital malformations with eight different antiepileptic drugs: a prospective cohort study of the EURAP registry. Lancet Neurol. 2018;17(6):530–8.CrossRefGoogle ScholarPubMed
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