Simple partial status epilepticus localized by single-photon emission computed tomography subtraction in chronic cerebral paragonimiasis.
A patient with chronic cerebral paragonimiasis began to have new motor seizures of the right face manifested by clonic contractions that occurred several hundred times a day, consistent with simple partial status epilepticus. Ictal electroencephalogram discharges started from the left frontal region and then spread to the left hemisphere with left frontal maximum. But clinical seizures were limited to the right face. The frequent partial seizures were controlled by the intravenous infusion of phenytoin. Brain magnetic resonance imaging showed multiple conglomerated round nodules with encephalomalacia in the left temporal and occipital lobes. Applying the technique of ictal-interictal single-photo emission computed tomography subtraction, the authors were able to localize the focal ictal-hyperperfusion on left precentral cortex adjacent to the lesions that correspond to the anatomical distribution of left face motor area.
Joo
Eun Yeon
EY
Department of Neurology, Samsung Medical Center & Center for Clinical Research, SBRI, Sungkyunkwan University School of Medicine, Seoul, Korea.
Kim
Jee Hyun
JH
Tae
Woo Suk
WS
Han
Sun Jung
SJ
Kim
Seunghwan
S
Kim
Myoung-Hee
MH
Byun
Hong Sik
HS
Hong
Seung Bong
SB
D000328:Adult; D001927:Brain Diseases / Q000000981:diagnostic imaging* / Q000469:parasitology*; D002908:Chronic Disease; D004569:Electroencephalography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010237:Paragonimiasis / Q000150:complications*; D013226:Status Epilepticus / Q000000981:diagnostic imaging* / Q000469:parasitology*; D015899:Tomography, Emission-Computed, Single-Photon