A Rare Case of Increase in Seizure Frequency After COVID-19

Fatih Çatal, M. Özsaraç, O. Karakayalı, Y. Yürümez, Nuray Aslan
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Abstract

Tuberous sclerosis complex (TSC) is a rare genetic disease and affected individuals are usually characterized by the triad of cutaneous angiofibroma, mental retardation and epileptic seizures. Different clinical tables may occur due to the inflammatory response after COVID19. Apart from this, there is no article in the literature reporting that the frequency of seizures has increased as stated in the case example presented. A 30-year-old male patient was brought to our emergency room by his relatives with the complaint of epileptic seizures. Relatives of the patients stated that the frequency of seizures increased progressively after having COVID19 a month ago and that he had seizures 10 times in the last 24 hours. As seen in the case we presented, there may be an increase in the frequency of seizures in the late period after COVID19 in patients with epilepsy. For this reason, patients with an increased seizure frequency by emergency medicine physicians should also be evaluated for COVID19.
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COVID-19后癫痫发作频率增加的罕见病例
结节性硬化症(TSC)是一种罕见的遗传性疾病,患者通常以皮肤血管纤维瘤、智力低下和癫痫发作为特征。新冠肺炎后的炎症反应可能会导致不同的临床表现。除此之外,文献中没有文章报道癫痫发作的频率增加,如所述的案例所述。一名30岁男性患者由其亲属带至急诊室,主诉为癫痫发作。患者家属表示,在一个月前感染新冠病毒后,癫痫发作的频率逐渐增加,在过去的24小时内癫痫发作了10次。从我们介绍的病例中可以看出,癫痫患者在covid - 19后的后期可能会增加癫痫发作的频率。因此,急诊医师对癫痫发作频率增加的患者也应进行新冠肺炎评估。
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