Cerebral atrophy and convulsive seizures after recovery from cerebral edema and coma in a patient with fulminant hepatitis B.
We report a 48-year-old woman who developed convulsive seizures and cerebral atrophy after recovery from fulminant hepatitis B with coma and cerebral edema at the acute stage. Neurological disturbances and cerebral signs are rare sequelae of fulminant hepatic failure (FHF); only a few cases have reported in the literature. Cortical laminar necrosis secondary to cerebral edema or delayed neuronal death due to toxic substances may have caused delayed brain atrophy and epileptogenesis.
Honda
S
S
Department of Neurology, Mie University School of Medicine, Tsu.
Taniguchi
A
A
Murai
K
K
Kuzuhara
S
S
D001284:Atrophy / Q000000981:diagnostic imaging / Q000209:etiology; D001921:Brain / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D001927:Brain Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D001929:Brain Edema / Q000150:complications*; D003128:Coma / Q000150:complications* / Q000503:physiopathology*; D004569:Electroencephalography; D005260:Female; D006509:Hepatitis B / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D020127:Recovery of Function; D012640:Seizures / Q000209:etiology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed