Clinical Analysis of Cerebral Infarction in Young Adults Misdiagnosed as Simple Partial Seizure of Epilepsy

LI Jiajia; HAN Huiru; WANG Yulin; LIU Jing

doi:10.3969/j.issn.1002-3429.2024.04.005

Abstract：Objective To investigate the key points of diagnosis and treatment of cerebral infarction in young adults,causes of misdiagnosis as simple partial seizure of epilepsy and preventive measures.Methods Clinical data of 7 young adults with cerebral infarction misdiagnosed as simple partial seizure of epilepsy treated from February 2021 to October 2022 were retrospectively analyzed.Results Seven patients were aged 23-38 years.They mainly presented with multiple episodes of transient or temporary right limb weakness accompanied by right facial numbness.There was decreased muscle strength of the right limb,shallower right nasolabial sulcus and weakened tendon reflex in 3 patients respectively,right tongue extension deviation,ataxia,and positive Babinski sign in 2 patients respectively.All 7 cases were misdiagnosed as simple partial seizure of epilepsy in the comprehensive outpatient department of other hospitals,the duration of misdiagnosis was.After admission to our hospital,cerebral infarction was confirmed by head MRI and MRI angiography(MRA).After corresponding treatment,7 patients were discharged with improved condition.At 6-month follow-up after discharge,there was no recurrence and 2 pa-tients had minor limb dysfunction.Conclusion The early symptoms of cerebral infarction in young adults are not typical,so early misdiagnosis often occurs.The receiving doctors in primary hospitals should enhance their vigilance and improve their understanding of the disease.For young patients with brain signs and risk factors of cerebral infarction,they should not easily deny the diagnosis of cerebral infarction due to their young age,and timely MRI,MRA and other imaging examinations should be performed when necessary to avoid misdiagnosis.