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Transient Anosognosia for Episodic Hemiparesis: A Singular Manifestation of TIAs and Epileptic Seizures

Published online by Cambridge University Press:  18 September 2015

F. Grand'Maison
Affiliation:
Department of Neurology, Centre Hospitalier Universitaire of Sherbrooke
J. Reiher*
Affiliation:
Department of Neurology, Centre Hospitalier Universitaire of Sherbrooke
M.L. Lebel
Affiliation:
Department of Neurology, Centre Hospitalier Universitaire of Sherbrooke
J. Rivest
Affiliation:
Department of Neurology, Centre Hospitalier Universitaire of Sherbrooke
*
Department of Neurology, University of Sherbrooke, Centre Hospitalier Universitaire, Sherbrooke, Québec, Canada J1H 5N4
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Abstract:

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Anosognosia is a well-known manifestation of non-dominant parietal lobe lesions and typically lasts a few days. That anosognosia may last only a few minutes to a few hours, as observed in six patients, has not been reported. In five patients, transient anosognosia for equally brief left-sided hemiparesis was a manifestation of transient ischemic attacks (TIAs). In the sixth patient, anosognosia for both a left-sided motor seizure and a subsequent brief left hemiparesis could best be explained by an epileptic ictal and post-ictal transient dysfunction of the non-dominant parietotemporal cortex. Prompt recognition of transient anosognosia, whether ischemic or epileptic, is mandatory for proper diagnosis and for rapid initiation of specific therapy.

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Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1989