Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge! Case presentation A 12-year-old boy reported to the emergency department (ED) with a generalized tonic-clonic seizure episode and a sudden onset of hemiplegia on the left side of the body. Medical history The patient had experienced two episodes of febrile seizure in his childhood.
No other significant medical history was reported. Radiographic investigations Cranial non-contrast CT revealed a hemorrhage in the right side of the frontal lobe with mass effect. An old infarct was also observed on the right side of the anterior frontal lobe (Figure A). Digital subtraction angiography in the arterial phase revealed a leash of blood vessels (white arrows) in the right side of the frontal and parietal lobes (Figure B).…