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POC17 Treacherous triangle of tumour, seizure and stroke
  1. K Krolikowski,
  2. O Hanemann,
  3. J Jones
  1. Derriford Hospital, Plymouth, UK
  1. Correspondence to konradsze{at}doctors.org.uk

Abstract

A 37-year-old man with known epilepsy and craniopharyngioma presented with 11 tonic–clonic seizures followed by right hemiparesis, hemianopia and dysphasia. The initial head CT suggested a left hemispheric stroke and it was suspected that the tumour compressed the left MCA causing ischaemia. However, normal CT angiogram and MRI with DWI excluded this diagnosis. Follow-up MRI showed resolution of changes which corresponded to complete clinical recovery within 2 weeks suggesting a diagnosis of hemispheric oedema secondary to seizures masquerading as TACS. Brain oedema may follow prolonged seizures but is usually focal and rarely involves the whole hemisphere imitating a stroke.

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