{"pk":1165,"title":"Occipital Lobe Status Epilepticus, A Stroke Mimic with Novel Imaging Findings: A Case Report","subtitle":null,"abstract":"Introduction:\n Stroke mimics are a major diagnostic challenge during the initial evaluation of patients presenting with an acute focal neurological deficit. This case reviews a patient who presented to the emergency department (ED) with homonymous hemianopsia, a rare manifestation of focal status epilepticus of the occipital lobe. Her initial brain computed axial tomographic perfusion scan and magnetic resonance imaging revealed novel findings associated with this diagnosis.\nCase Report:\n A 70-year-old female presented to our ED with left visual field hemianopsia, dyskinesia, dysmetria, and facial droop. Her initial diagnosis was left posterior fossa circulation cerebrovascular accident. However, her neuroimaging indicated hypervascularity of the left occipital lobe without evidence of infarct or structural lesion. A cerebral angiogram excluded arteriovenous malformation. Subsequently, an electroencephalogram showed left occipital lobe status epilepticus.\nConclusion:\n Hemianopsia is a rare presentation of focal status epilepticus mimicking stroke. Hypervascularity seen on advanced neuroimaging may have suggested this diagnosis on initial ED evaluation.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"stroke mimics"},{"word":"hemianopsia"},{"word":"status epilepticus."}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1wn8d82b","frozenauthors":[{"first_name":"Jordan","middle_name":"","last_name":"Lawson","name_suffix":"","institution":"Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina","department":"None"},{"first_name":"Wayne","middle_name":"","last_name":"Triner","name_suffix":"","institution":"Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina","department":"None"},{"first_name":"Brady","middle_name":"","last_name":"Kluge","name_suffix":"","institution":"University of South Carolina, School of Medicine, Greenville, South Carolina","department":"None"}],"date_submitted":"2022-07-26T22:48:24Z","date_accepted":"2022-07-26T22:48:24Z","date_published":"2022-07-26T22:51:02Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1165/galley/905/download/"}]}