title: Unilateral brain oedema related to focal status epilepticus.
abstract: We present a female patient in her late 30s, with baseline vegetative state following prior traumatic brain injury, who presented with prolonged right hemispheric status epilepticus. The neuroimaging revealed a striking right-sided pancortical oedema with left (crossed) cerebellar diaschisis and dilation of right hemispheric arteries. EEG was concordant and showed nearly continuous right hemispheric seizure discharges with suppressed background. Infective and vascular aetiologies were ruled out. The patient showed clinical and electrographic improvement following treatment with antiepileptic drugs. Unilateral cerebral oedema is a rare presentation of focal status epilepticus, and should be considered as a differential diagnosis in the appropriate clinical scenario.
authors: Department of Internal Medicine, Mafraq Hospital, Abu Dhabi, United Arab Emirates.
authors: Noura Abdulwahid
authors: NA
authors: Ali
authors: Sudhir Kumar
authors: SK
authors: Palat Chirakkara
authors: Jagan Jinna
authors: JJ
authors: Reddy
authors: Shobhit
authors: S
authors: Sinha
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001929:Brain Edema / Q000150:complications* / Q000175:diagnosis; D001930:Brain Injuries / Q000150:complications*; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005260:Female; D006801:Humans; D018458:Persistent Vegetative State / Q000209:etiology; D013226:Status Epilepticus / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants