Reversible focal radiological changes due to non-convulsive status epilepticus of the right parietooccipital lobe
We describe a 62-year-old woman suffering from visual hallucination due to focal status epilepticus investigated by means of Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Electroencephalography (EEG), and 99m Technetium ethylcysteinate dimer Single Photon Emission Computed...
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| Veröffentlicht in: | Turkish neurosurgery 2013, Vol.23 (2), p.278-281 |
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| container_title | Turkish neurosurgery |
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| creator | Tuan Huynh, Nhat Nguyen Hiroyoshi, Akutsu Shozo, Noguchi Takashi, Tsunoda Hideo, Tsurushima Akira, Matsumura |
| description | We describe a 62-year-old woman suffering from visual hallucination due to focal status epilepticus investigated by means of Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Electroencephalography (EEG), and 99m Technetium ethylcysteinate dimer Single Photon Emission Computed Tomography (Tc-99m ECD SPECT). EEG showed spikes in the right parietooccipital area. MRI demonstrated gyral swelling and signal hyperintensity in the right parietooccipital cortex with effacement of adjacent cortical sulci on T2- weighted and Fluid Attenuation Inversion Recovery (FLAIR) images. MRA indicated localized dilation of the right posterior cerebral artery (PCA) and parietal branch of the right middle cerebral artery (MCA), corresponding to the epileptic area shown on EEG. Hyperperfusion in the right parietooccipital lobe was observed by Tc-99m ECD SPECT. All these findings completely resolved on the follow-up studies 2 months later. We present the case showing the transient radiological alterations on MRA corresponding to the epileptic area. |
| doi_str_mv | 10.5137/1019-5149.JTN.4870-11.0 |
| format | Article |
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EEG showed spikes in the right parietooccipital area. MRI demonstrated gyral swelling and signal hyperintensity in the right parietooccipital cortex with effacement of adjacent cortical sulci on T2- weighted and Fluid Attenuation Inversion Recovery (FLAIR) images. MRA indicated localized dilation of the right posterior cerebral artery (PCA) and parietal branch of the right middle cerebral artery (MCA), corresponding to the epileptic area shown on EEG. Hyperperfusion in the right parietooccipital lobe was observed by Tc-99m ECD SPECT. All these findings completely resolved on the follow-up studies 2 months later. We present the case showing the transient radiological alterations on MRA corresponding to the epileptic area.</description><identifier>ISSN: 1019-5149</identifier><identifier>DOI: 10.5137/1019-5149.JTN.4870-11.0</identifier><identifier>PMID: 23546919</identifier><language>eng</language><publisher>Turkey</publisher><subject>Anticonvulsants - therapeutic use ; Cerebral Angiography ; Electroencephalography ; Female ; Humans ; Image Processing, Computer-Assisted ; Magnetic Resonance Angiography ; Magnetic Resonance Imaging ; Middle Aged ; Occipital Lobe - diagnostic imaging ; Occipital Lobe - pathology ; Parietal Lobe - diagnostic imaging ; Parietal Lobe - pathology ; Phenytoin - therapeutic use ; Posterior Cerebral Artery - pathology ; Status Epilepticus - diagnostic imaging ; Status Epilepticus - drug therapy ; Status Epilepticus - pathology ; Tomography, Emission-Computed, Single-Photon</subject><ispartof>Turkish neurosurgery, 2013, Vol.23 (2), p.278-281</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4025,27928,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23546919$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tuan Huynh, Nhat Nguyen</creatorcontrib><creatorcontrib>Hiroyoshi, Akutsu</creatorcontrib><creatorcontrib>Shozo, Noguchi</creatorcontrib><creatorcontrib>Takashi, Tsunoda</creatorcontrib><creatorcontrib>Hideo, Tsurushima</creatorcontrib><creatorcontrib>Akira, Matsumura</creatorcontrib><title>Reversible focal radiological changes due to non-convulsive status epilepticus of the right parietooccipital lobe</title><title>Turkish neurosurgery</title><addtitle>Turk Neurosurg</addtitle><description>We describe a 62-year-old woman suffering from visual hallucination due to focal status epilepticus investigated by means of Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Electroencephalography (EEG), and 99m Technetium ethylcysteinate dimer Single Photon Emission Computed Tomography (Tc-99m ECD SPECT). EEG showed spikes in the right parietooccipital area. MRI demonstrated gyral swelling and signal hyperintensity in the right parietooccipital cortex with effacement of adjacent cortical sulci on T2- weighted and Fluid Attenuation Inversion Recovery (FLAIR) images. MRA indicated localized dilation of the right posterior cerebral artery (PCA) and parietal branch of the right middle cerebral artery (MCA), corresponding to the epileptic area shown on EEG. Hyperperfusion in the right parietooccipital lobe was observed by Tc-99m ECD SPECT. All these findings completely resolved on the follow-up studies 2 months later. We present the case showing the transient radiological alterations on MRA corresponding to the epileptic area.</description><subject>Anticonvulsants - therapeutic use</subject><subject>Cerebral Angiography</subject><subject>Electroencephalography</subject><subject>Female</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Magnetic Resonance Angiography</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Occipital Lobe - diagnostic imaging</subject><subject>Occipital Lobe - pathology</subject><subject>Parietal Lobe - diagnostic imaging</subject><subject>Parietal Lobe - pathology</subject><subject>Phenytoin - therapeutic use</subject><subject>Posterior Cerebral Artery - pathology</subject><subject>Status Epilepticus - diagnostic imaging</subject><subject>Status Epilepticus - drug therapy</subject><subject>Status Epilepticus - pathology</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><issn>1019-5149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1OwzAQhH0A0VJ4BfCRS4I3cRzniCp-VYGEyjlynHVr5MZp7FTi7QmicNpZzafR7hByDSwtIC9vgUGVFMCr9GX9mnJZsgQgZSdk_u_MyHkIn4wJkQGckVmWF1xUUM3J_h0POATbOKTGa-XooFrrnd_Yn0VvVbfBQNsRafS0812ifXcYXbAHpCGqOAaKvXXYR6sn7Q2NW6SD3Wwj7dVgMXqvte1tnOKcb_CCnBrlAl4e54J8PNyvl0_J6u3xeXm3SvrpxpgI1vJCFqIpmQYhQUstC6PyEpkqjAFouOSN0lwr2WYSsJpUyRph-PQla_MFufnN7Qe_HzHEemeDRudUh34MNeRZnkkmGJ_QqyM6Njts636wOzV81X815d9wmmux</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Tuan Huynh, Nhat Nguyen</creator><creator>Hiroyoshi, Akutsu</creator><creator>Shozo, Noguchi</creator><creator>Takashi, Tsunoda</creator><creator>Hideo, Tsurushima</creator><creator>Akira, Matsumura</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Reversible focal radiological changes due to non-convulsive status epilepticus of the right parietooccipital lobe</title><author>Tuan Huynh, Nhat Nguyen ; Hiroyoshi, Akutsu ; Shozo, Noguchi ; Takashi, Tsunoda ; Hideo, Tsurushima ; Akira, Matsumura</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-60d45856b70c1681c8c85fa37e0a5ff11b484bac4ca8d281e94ca70b6f46620d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Anticonvulsants - therapeutic use</topic><topic>Cerebral Angiography</topic><topic>Electroencephalography</topic><topic>Female</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Magnetic Resonance Angiography</topic><topic>Magnetic Resonance Imaging</topic><topic>Middle Aged</topic><topic>Occipital Lobe - diagnostic imaging</topic><topic>Occipital Lobe - pathology</topic><topic>Parietal Lobe - diagnostic imaging</topic><topic>Parietal Lobe - pathology</topic><topic>Phenytoin - therapeutic use</topic><topic>Posterior Cerebral Artery - pathology</topic><topic>Status Epilepticus - diagnostic imaging</topic><topic>Status Epilepticus - drug therapy</topic><topic>Status Epilepticus - pathology</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tuan Huynh, Nhat Nguyen</creatorcontrib><creatorcontrib>Hiroyoshi, Akutsu</creatorcontrib><creatorcontrib>Shozo, Noguchi</creatorcontrib><creatorcontrib>Takashi, Tsunoda</creatorcontrib><creatorcontrib>Hideo, Tsurushima</creatorcontrib><creatorcontrib>Akira, Matsumura</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Turkish neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tuan Huynh, Nhat Nguyen</au><au>Hiroyoshi, Akutsu</au><au>Shozo, Noguchi</au><au>Takashi, Tsunoda</au><au>Hideo, Tsurushima</au><au>Akira, Matsumura</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reversible focal radiological changes due to non-convulsive status epilepticus of the right parietooccipital lobe</atitle><jtitle>Turkish neurosurgery</jtitle><addtitle>Turk Neurosurg</addtitle><date>2013</date><risdate>2013</risdate><volume>23</volume><issue>2</issue><spage>278</spage><epage>281</epage><pages>278-281</pages><issn>1019-5149</issn><abstract>We describe a 62-year-old woman suffering from visual hallucination due to focal status epilepticus investigated by means of Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Electroencephalography (EEG), and 99m Technetium ethylcysteinate dimer Single Photon Emission Computed Tomography (Tc-99m ECD SPECT). EEG showed spikes in the right parietooccipital area. MRI demonstrated gyral swelling and signal hyperintensity in the right parietooccipital cortex with effacement of adjacent cortical sulci on T2- weighted and Fluid Attenuation Inversion Recovery (FLAIR) images. MRA indicated localized dilation of the right posterior cerebral artery (PCA) and parietal branch of the right middle cerebral artery (MCA), corresponding to the epileptic area shown on EEG. Hyperperfusion in the right parietooccipital lobe was observed by Tc-99m ECD SPECT. All these findings completely resolved on the follow-up studies 2 months later. We present the case showing the transient radiological alterations on MRA corresponding to the epileptic area.</abstract><cop>Turkey</cop><pmid>23546919</pmid><doi>10.5137/1019-5149.JTN.4870-11.0</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Anticonvulsants - therapeutic use Cerebral Angiography Electroencephalography Female Humans Image Processing, Computer-Assisted Magnetic Resonance Angiography Magnetic Resonance Imaging Middle Aged Occipital Lobe - diagnostic imaging Occipital Lobe - pathology Parietal Lobe - diagnostic imaging Parietal Lobe - pathology Phenytoin - therapeutic use Posterior Cerebral Artery - pathology Status Epilepticus - diagnostic imaging Status Epilepticus - drug therapy Status Epilepticus - pathology Tomography, Emission-Computed, Single-Photon |
| title | Reversible focal radiological changes due to non-convulsive status epilepticus of the right parietooccipital lobe |
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