Focal status epilepticus: follow-up by perfusion- and diffusion MRI

Eur Radiol. 2002 Mar;12(3):568-74. doi: 10.1007/s003300100999. Epub 2001 Jul 7.

Abstract

Diffusion-weighted MRI demonstrated bright right temporoparietal cortex, right hippocampus, and left cerebellum in a 63-year-old female suffering a focal convulsive status epilepticus. Hyperperfusion was noted in the right temporoparietal region. Two days later, a tendency to normalization of most of the diffusion and perfusion changes was noted, apart from the right hippocampus which became brighter on diffusion- and T2-weighted images. On the tenth day the apparent diffusion coefficient was slightly elevated, getting brighter on T2-weighted images with suspected mild post-contrast enhancement. We postulate that the discharging right hippocampus suffered cytotoxic edema, which later progressed to cell damage.

Publication types

  • Case Reports

MeSH terms

  • Brain / pathology*
  • Cerebellum / pathology
  • Electroencephalography
  • Female
  • Hippocampus / pathology
  • Humans
  • Magnetic Resonance Imaging / methods
  • Middle Aged
  • Paresis / diagnosis
  • Status Epilepticus / pathology*