Corpus callosum stroke with seizure as primary symptom
DOI:
https://doi.org/10.18203/2320-6012.ijrms20232438Keywords:
Corpus callosum stroke, Post-stroke seizure, Cerebrovascular disease, Young adult, Heart failureAbstract
The corpus callosum is a large commissural fiber connecting the two hemispheres. The anterior communicating artery, pericallosal artery, and posterior pericallosal artery supply it. Stroke in this area is indeed rare, with an incidence rate of 0.9% to 2.8% per year. There were no documented seizure cases as a manifestation of corpus callosum stroke. We report a case of a 42-year-old right-handed male with a history of hypertension and heart failure who presented with focal motor seizure with intact awareness, alien hand syndrome, and hemianesthesia. His cranial magnetic resonance imaging (MRI) showed a corpus callosum stroke and focal delta slowing on electroencephalography (EEG). This study showed that the corpus callosum is a possible epileptogenic focus.
Metrics
References
Aloumanis KP, Papapetrou PD. Corpus callosum aplasia in a young patient with a parathyroid adenoma. J Clin Neurosci. 2007;14(11):1124-6.
Giroud M, Dumas R. Clinical and topographical range of callosal infarction: a clinical and radiological correlation study. J Neurol Neurosurg Psychiatry. 1995;59(3):238-42.
Li S, Sun X, Bai YM, Qin HM, Wu XM, Zhang X, et al. Infarction of the corpus callosum: a retrospective clinical investigation. PLoS One. 2015;10(3):e0120409.
Bladin CF, Alexandrov AV, Bellavance A, Bornstein N, Chambers B, Cote R, et al. Seizures after stroke: a prospective multicenter study. Arch Neurol. 2000;57:1617-22.
Silverman IE, Restrepo L, Mathews GC. Poststroke Seizures. Arch Neurol. 2002;59(2):195-201.
Nieto-Barrera M, Rodríguez-Criado G, Carballo M. Corpus callosum agenesis and epileptic seizures. Revista de Neurologia. 1999;28:S6-13.
Bromfield EB, Cavazos JE, Sirven JI, editors. An Introduction to Epilepsy. Chapter 1, Basic. West Hartford (CT): American Epilepsy Society. 2006.
Goldstein A, Covington BP, Mahabadi N, Mesfin FB. Neuroanatomy, Corpus Callosum. StatPearls. 2022.
Tanaka-Arakawa MM, Matsui M, Tanaka C, Uematsu A, Uda S, Miura K, et al. Developmental changes in the corpus callosum from infancy to early adulthood: a structural magnetic resonance imaging study. PLoS One. 2015;10(3):e0118760.