PMC8253164_01
Physical examination on admission. The patient presented with sudden, arrhythmic movements with intermittent loss of postural tone on his left upper limb, compatible with negative myoclonus. The second segment of the video (between 12 and 17 seconds) shows partial improvement of the myoclonus after administration of Phenobarbital 50 mg. The abnormal movements were later completely suppressed.
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V1
ASPECTS of 10 and NIHSS of 3, intravenous thrombolysis was not indicated. An MRI study held 2 days after the ictus showed marked T2/FLAIR hyperintensities at the right temporal and occipital lobes, in addition to the ipsilateral caudate nucleus and thalamus, with restricted water diffusion on DWI (Figure 1).