A young woman with Kallmann syndrome and acute neurologic symptoms

Laboratory tests at presentation, including a complete blood cell count, renal function tests, and blood glucose level, were normal.Electrocardiography showed normal sinus rhythm. DIFFERENTIAL DIAGNOSIS1 Which is the most likely cause of this patient's symptoms? Seizure Hemiplegic migraine Transient ischemic attack Brain tumor Stroke mimics are conditions that present with stroke-like symptoms. 5 SeizureSeizures are a common stroke mimic.In cases of unwitnessed seizure, the postictal state, which can feature limb paralysis (Todd paresis), speech disturbances, altered level of consciousness, and confusion, can be mistaken for an acute stroke.Seizures are more common in patients who have previously had a stroke.Conversely, generalized seizures are sometimes an early sign of an acute stroke.However, a spectrum of diseases affecting the brain, including vascular, infective, malignant, infl ammatory, developmental, and genetic conditions, can present with seizures. 6ost patients recover relatively rapidly from postictal symptoms, but in rare instances nonconvulsive status epilepticus can cause prolonged symptoms affecting speech and movement, which may make it hard to differentiate this condition from other diseases. 5