History of present illness

7 months PTA
6 weeks PTA
Focal seizure
2 weeks PTA
Focal seizure with 2°
generalization to the
7 episodes of focal
left extremities
seizures on the left
extremities
MRA: Ring-like nodular
lesions at the right
CT-Scan: Infarct on the
parietal area
right parietal area
Review of Systems
• No fever
• No weight loss
• No loss of appetite
• No blurring of vision
• No headache
• No chest pain
• No easy fatiguability
• No abdominal pain
• No dysuria
(+) Numbness of left foot is noted
What have caused the seizure?
• Vascular
• Infectious / Inflammatory
• Trauma
• Autoimmune
• Metabolic
• Iatrogenic
• Neoplastic
• Congenital
• Degenerative
What have caused the seizure?
• Vascular
• Infectious / Inflammatory
• Autoimmune
• Neoplastic