Reversible MRI Changes in Prolonged Status Epilepticus: A Case Report

被引:6
作者
Gujjar, Arunodaya [1 ]
Jacob, P. C. [1 ]
Al-Asmi, Abdullah [1 ]
Ramachandiran, Nandhagopal [2 ]
Obaidi, Ammar [1 ]
Jain, Rajeev [1 ]
机构
[1] Sultan Qaboos Univ, Neurol Unit, Dept Med, Muscat, Oman
[2] Sultan Qaboos Univ, Coll Med & Hlth Sci, Sultan Qaboos Univ Hosp, Muscat, Oman
关键词
MRI changes; reversible; status epilepticus; REFRACTORY STATUS EPILEPTICUS; SIGNAL CHANGES;
D O I
10.3109/00207454.2011.556281
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
MRI is an essential investigation in epilepsy and status epilepticus (SE) for determining the underlying cause. However, SE or prolonged seizures may themselves induce changes in the MRI resulting in difficulty in interpretation. This case report illustrates a patient who recovered completely from prolonged generalized idiopathic SE lasting more than 2 weeks and had transient bilateral external capsule, fronto-temporal, and insular cortical MRI changes. The mechanism of such MRI changes and their implications for survival even after prolonged SE are discussed.
引用
收藏
页码:341 / 345
页数:5
相关论文
共 10 条
[1]   Uncoupling of blood flow and metabolism in focal epilepsy [J].
Bruehl, C ;
Hagemann, G ;
Witte, OW .
EPILEPSIA, 1998, 39 (12) :1235-1242
[2]   Cryptogenic New Onset Refractory Status Epilepticus (NORSE) in adults-Infectious or not? [J].
Costello, Daniel J. ;
Kilbride, Ronan D. ;
Cole, Andrew J. .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2009, 277 (1-2) :26-31
[3]   Peri-ictal signal changes in seven patients with status epilepticus: interesting MRI observations [J].
Goyal, Manoj K. ;
Sinha, Sanjib ;
Ravishankar, Shivshankar ;
Shivshankar, Jai Jai .
NEURORADIOLOGY, 2009, 51 (03) :151-161
[4]   Periictal magnetic resonance imaging in status epilepticus [J].
Huang, Yen-Chu ;
Weng, Hsu-Huei ;
Tsai, Yu-tai ;
Huang, Ying-Chih ;
Hsiao, Ming-Chang ;
Wu, Chih-Ying ;
Lin, Ya-Hui ;
Hsu, Huan-Lin ;
Lee, Jiann-Der .
EPILEPSY RESEARCH, 2009, 86 (01) :72-81
[5]  
Kim JA, 2001, AM J NEURORADIOL, V22, P1149
[6]  
MELDRUM BS, 1973, ARCH NEUROL-CHICAGO, V28, P1
[7]   Frequency and patterns of MRI abnormalities due to status epilepticus [J].
Milligan, Tracey A. ;
Zamani, Amir ;
Bromfield, Edward .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2009, 18 (02) :104-108
[8]   Topiramate loading for refractory status epilepticus in children [J].
Perry, M. Scott ;
Holt, Philip J. ;
Sladky, John T. .
EPILEPSIA, 2006, 47 (06) :1070-1071
[9]   Changes on diffusion-weighted MRI with focal motor status epilepticus:: case report [J].
Senn, P ;
Lövblad, KO ;
Zutter, D ;
Bassetti, C ;
Zeller, O ;
Donati, F ;
Schroth, G .
NEURORADIOLOGY, 2003, 45 (04) :246-249
[10]   Diffusion-weighted and perfusion MRI demonstrates parenchymal changes in complex partial status epilepticus [J].
Szabo, K ;
Poepel, A ;
Pohlmann-Eden, B ;
Hirsch, J ;
Back, T ;
Sedlaczek, O ;
Hennerici, M ;
Gass, A .
BRAIN, 2005, 128 :1369-1376