Diffusion-weighted and perfusion MRI demonstrates parenchymal changes in complex partial status epilepticus

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Diffusion-weighted and perfusion MRI demonstrates parenchymal changes in complex partial status epilepticus.

Diffusion-weighted MRI (DWI) and perfusion MRI (PI) have been mainly applied in acute stroke, but may provide information in the peri-ictal phase in epilepsy patients. Both transient reductions of brain water diffusion, namely a low apparent diffusion coefficient (ADC), and signs of hyperperfusion have been reported in experimental and human epilepsy case studies. We studied 10 patients with co...

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MRI changes in status epilepticus.

1. Damasio AR. Aphasia. N Engl J Med 1992;326:531–539. 2. Puel M, Demonet JF, Cardebat D. Aphasies sous-corticales. Rev Neurol (Paris) 1984;140:695–710. 3. Anderson JM, Gilmore R, Roper S, et al. Conduction aphasia and the arcuate fasciculus: a reexamination of the Wernicke-Geshwind model. Brain Lang 1999;70:1–12. 4. Nguyen DK. Botez MI. Diaschisis and neurobehavior. Can J Neurol Sci 1998;25:5–...

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Diffusion changes suggesting predominant vasogenic oedema during partial status epilepticus

Diffusion-weighted imaging (DWI) has demonstrated a focal area of cytotoxic oedema during partial status epilepticus (PSE). However, vasogenic oedema related to the breakdown of the blood-brain-barrier (BBB) and ictal hyperperfusion could be the predominant DWI findings in the epileptogenic area during PSE. We report a case of PSE with ictal aphasia, right hemiparesis, and repetitive focal moto...

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Complex partial status epilepticus in a child.

Complex partial status epilepticus (SE) has been reported rarely in children. We describe the clinical case of a 14 year-old girl with complex partial seizures (CPS) since age 10 who developed a complex partial SE probably because she was not adherent to treatment. The neurologic examination and computed tomography scan were normal. During the SE she received diazepam and phenytoin and became f...

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Complex partial status epilepticus: a recurrent problem.

Twenty patients with complex partial status epilepticus were identified retrospectively from a specialist neurology hospital. Seventeen patients experienced recurrent episodes of complex partial status epilepticus, often occurring at regular intervals, usually over many years, and while being treated with effective anti-epileptic drugs. No unifying cause for the recurrences, and no common epile...

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ژورنال

عنوان ژورنال: Brain

سال: 2005

ISSN: 1460-2156,0006-8950

DOI: 10.1093/brain/awh454