A CASE OF PIAL ARTERIO-VENOUS MALFORMATION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 9
Abstract
PRESENTATION OF CASE A 68-year-old female housewife presented with complaints ofa. Seizures since 30 years on and off b. Headache since 30 years left sided parieto-temporal Patient has been on treatment since 30 years when she had first episode of seizure, but was not relieved of seizures. Patient was on following anti-epileptics1. Phenytoin 300 mg OD 2. Carbamazepine 400 mg TDS 3. Sodium Valproate 750 mg OD 4. Clobazam 10 mg TDS. Patient had been taking treatment from various hospitals but was never free of symptoms. Multiple CT (computerized tomography) scans, MRI (magnetic resonance imaging) studies had been done but no definitive diagnosis was achieved. Patient used to have seizure episodes lasting from 5 minutes to 15 minutes, once or twice a day, associated with tongue bite, frothing from mouth, up rolling of eyeballs and loss of consciousness from 15 minutes to 1 hour. Headache spells were associated with nausea sometimes vomiting. When patient was brought to Dr. D.Y. Patil Hospital, she had an episode of seizure at her home and was brought to emergency room in unconscious state. Patient was stabilized with loading dose of Levetiracetam 1 gm in Infusion. Emergency CT was done which was S/O Gliotic Area in left frontal lobe with small foci of cortical calcification.
Authors and Affiliations
Karan Shrikant Patil, Archana Rahul Bhate, Rahul Pralhad Ladda
Keywords
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- EP ID EP474748
- DOI 10.18410/jebmh/2018/172
- Views 75
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