Reversible changes in echo planar perfusion- and diffusion-weighted MRI in status epilepticus.
Perfusion imaging (PI) demonstrated increased perfusion and diffusion-weighted imaging (DWI) showed high signal limited to the left temporoparietal cortex in a 68-year-old man with nonconvulsive status epilepticus. The EEG showed a slow delta-wave focus. The patient recovered and PI, DWI and EEG changes completely resolved.
Flacke
S
S
Department of Radiology, University of Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn, Germany. flacke@uni-bonn.de
Wüllner
U
U
Keller
E
E
Hamzei
F
F
Urbach
H
H
D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D001810:Blood Volume / Q000502:physiology; D001921:Brain / Q000473:pathology*; D002560:Cerebrovascular Circulation / Q000502:physiology*; D002998:Clonazepam / Q000627:therapeutic use; D003700:Delta Rhythm; D004058:Diffusion; D017352:Echo-Planar Imaging; D004569:Electroencephalography; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D002546:Ischemic Attack, Transient / Q000175:diagnosis; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008617:Mephenytoin / Q000627:therapeutic use; D013226:Status Epilepticus / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology
D000927:Anticonvulsants; D002998:Clonazepam; D008617:Mephenytoin