[Transient abnormalities associated with status epilepticus on diffusion-weighted MR imaging].
We report on two patients with transient abnormalities on MRI during status epilepticus(SE). Diffusion-weighted MR imaging(DWI) and T2-weighted and fluid-attenuated inversion recovery (FLAIR) MR images showed cortical and thalamic hyperintensity with swelling of the cortex. The lesions did not respect vascular territories. We also observed an increased signal in the ipsilateral middle cerebral artery on magnetic resonance angiography(MRA), and leptomeningeal enhancement on postcontrast MRI. Follow-up imaging revealed that the abnormal findings resolved within a few weeks, although a residual area of increased T2 signal intensity persisted. These findings suggest the presence of reversible cytotoxic and vasogenic edema induced by seizure. We conclude that this disorder should be taken into consideration in the differential diagnosis of other conditions, including ischemic stroke.
Kawahara
Ichiro
I
Department of Neurosurgery, Nagasaki Rousai Hospital.
Tsutsumi
Keisuke
K
Hirose
Makoto
M
Matsuo
Yoshitaka
Y
Yokoyama
Hiroaki
H
D000368:Aged; D000369:Aged, 80 and over; D001921:Brain / Q000473:pathology*; D020520:Brain Infarction / Q000175:diagnosis; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D008875:Middle Aged; D013226:Status Epilepticus / Q000175:diagnosis*