Volume : X, Issue : IV, April - 2020

Mitral stenosis and vascular epilepsy: about 36 cases

Abdellatif Ezzouak, Abdellah Taous, Achraf Zaimi, Mehdi Badidi

Abstract :

INTRODUCTION: Mitral stenosis (MS) is a major embolic heart disease, especially when associated with atrial fiillation. Ischemic strokes are the first manifestations of these embolic accidents, and they may lead to vascular epileptic seizures. We present a sample cases of MS complicated of vascular epilepsy, which can sometimes reveal this valvular cardiopathy. PATIENTS AND METHODS: retrospective study reporting 36 patients, Who presented at least one epileptic seizure related to MS complicated of an ischemic stroke, confirmed by cereal imaging (CT scan and / or MRI) RESULTS: 20 men (55.5%), with an average age of 35.8 +/– 5.7 years. Atrial fiillation was permanent in 29 cases (80.5%). On the echocardiography, the MS was severe in 27 cases (75%). The left atrium was dilated in all patients. Spontaneous contrast was demonstrated in 31 cases (86%). A thrombus of the left atrium and especially of the left atrial appendage detected in 22 cases (61%). The ischemic stroke was of cortical site in 25 cases (69.4%). The electroencephalogram was abnormal in 31 patients (86%). All patients were put on a vitamin k antagonist with indication for a valve replacement or a mitral commissurotomy in case of moderate MS. CONCLUSION: MS is a potentially embolic source, causing ischemic stroke and exposing to an increased risk of developing vascular epilepsy. Primary prevention, in our context, by eradicating rheumatic fever and early detection of rheumatic valve disease, remains necessary to prevent valvular disease’s complications.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

MITRAL STENOSIS AND VASCULAR EPILEPSY: ABOUT 36 CASES, Abdellatif Ezzouak, Abdellah Taous, Achraf Zaimi, Mehdi Badidi INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-4 | April-2020

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