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Journal of Case Reports
Epilepsia Partialis Continua as a Presenting Manifestation of Acute Stroke
Sachin Sureshbabu1, Nikitha K2, Sudhir Peter3, Sobhana C4, Merisin Joseph1, Abdurehiman KP1
Departments of 1Neurology and 2General Medicine, Aster MIMS Hospital, Kozhikode, Kerala, India; 3Department of Pathology, Neuberg Diagnostics, Vishakhapatnam, Andhra Pradesh, India; 4Department of Pathology, Guntur Medical College, Andhra Pradesh, India.
Corresponding Author:
Dr Sachin Sureshbabu
Email: drsachins1@rediffmail.com
Received: 22-FEB-2021 Accepted: 10-MAR-2022 Published Online: 15-APR-2022
DOI: http://dx.doi.org/10.17659/01.2022.0011
Background: Epilepsia partialis continua (EPC) a form of focal epilepsy though linked to ischemic stroke etiologically, is rarely a presenting manifestation of the same. Case Report: Here is the story of an 88-year-old gentleman, who developed a prolonged EPC spanning over few days as a harbinger of a cortical stroke with dense hemiparesis. Neuroimaging revealed a cortical infarct. However, as the weakness progressed his EPC which was earlier not controlled with multiple antiepileptic drugs got resolved. Conclusion: The critical metabolic pathways which are operative in the initial phases of the stroke-associated epilepsy is discussed with the report. 
Keywords : Focal Epilepsy, Ischemic Stroke, Movement, Neuroimaging, Seizure Disorder.
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