International Archives of Medicine


Open Access Case report

Partial motor status epilepticus as a clinical manifestation of carotid stenosis

Renée Ribacoba2*, Manuel Menéndez-González1, Sergio Calleja2, Javier Salas-Puig2 and Vanessa de la Vega1

Author Affiliations

1 Unit of Neurology, Hospital Alvarez Buylla, Mieres, Asturias, Spain

2 Service of Neurology, Hospital Universitario Central de Asturias, Oviedo, Astuias, Spain

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International Archives of Medicine 2010, 3:18 doi:10.1186/1755-7682-3-18

Published: 6 September 2010

Abstract

Limb shaking (LS) is often confused with focal motor seizures. Distinguishing between both is crucial, because LS may represent an indicator of severe carotid occlusive disease and patients are at high risk of stroke. We report the case of a patient with occlusive carotid stenosis without definite stroke who develops partial motor status epilepticus (SE). Clinical, neuroimaging and electroencephalographic findings are provided. We conclude that focal motor seizures should be distinguished from LS based on clinical and electroencephalographic findings.