Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report

Jang Sang Hyun

doi:doi:10.11648/j.cnn.20170101.15

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Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report

Jang Sang Hyun

Published in Clinical Neurology and Neuroscience (Volume 1, Issue 1)

Received: 17 October 2016 Accepted: 27 December 2016 Published: 27 March 2017

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Abstract

We report a patient who showed mixed cytotoxic and vasogenic edema on Magnetic Resonance Imaging (MRI) in association with partial status epilepticus. The patient experienced clonic movements of the left arm and leg. As the clonic movements continued, resulting eventually in epilepsia partialis continua, MRI showed characteristic cytotoxic edema in the epileptogenic focus and vasogenic edema in the region remote from the epileptogenic focus. The aim of this report is to support the evidence that partial seizure spreads through efferent projections from the cerebral cortex to the cerebellum, and findings of serially followed MRI suggest that cytotoxic edema persisted for a long time in contrast to vasogenic edema.

Published in	Clinical Neurology and Neuroscience (Volume 1, Issue 1)
DOI	10.11648/j.cnn.20170101.15
Page(s)	20-23
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Partial Status Epilepticus, MRI, Cytotoxic Brain Edema, Vasogenic Brain Edema

References

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[2]	Donaire A, Carreno M, Gomez B, et al. Cortical laminar necrosis related to prolonged focal status epilepticus. J Neurol Neurosurg Psychiatry 2006; 77: 104-106.
[3]	Lansberg MG, O'Brien MW, Norbash AM, Moseley ME, Morrell M, Albers GW. MRI abnormalities associated with partial status epilepticus. Neurology 1999; 52: 1021-1027.
[4]	Gass A, Niendorf T, Hirsch JG. Acute and chronic changes of the apparent diffusion coefficient in neurological disorders--biophysical mechanisms and possible underlying histopathology. J Neurol Sci 2001; 186 Suppl 1: S15-23.
[5]	Senn P, Lovblad KO, Zutter D, et al. Changes on diffusion-weighted MRI with focal motor status epilepticus: case report. Neuroradiology 2003; 45: 246-249.
[6]	Hong KS, Cho YJ, Lee SK, Jeong SW, Kim WK, Oh EJ. Diffusion changes suggesting predominant vasogenic oedema during partial status epilepticus. Seizure 2004; 13: 317-321.
[7]	Oztas B, Kilic S, Dural E, Ispir T. Influence of antioxidants on the blood-brain barrier permeability during epileptic seizures. J Neurosci Res 2001; 66: 674-678.
[8]	Calistri V, Caramia F, Bianco F, Fattapposta F, Pauri F, Bozzao L. Visualization of evolving status epilepticus with diffusion and perfusion MR imaging. AJNR Am J Neuroradiol 2003; 24: 671-673.
[9]	Kimiwada T, Juhasz C, Makki M, et al. Hippocampal and thalamic diffusion abnormalities in children with temporal lobe epilepsy. Epilepsia 2006; 47: 167-175.
[10]	Szabo K, Poepel A, Pohlmann-Eden B, et al. Diffusion-weighted and perfusion MRI demonstrates parenchymal changes in complex partial status epilepticus. Brain 2005; 128: 1369-1376.
[11]	Hattori H, Matsuoka O, Ishida H, Hisatsune S, Yamano T. Magnetic resonance imaging in occipital lobe epilepsy with frequent seizures. Pediatr Neurol 2003; 28: 216-218.

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APA Style

Jang Sang Hyun. (2017). Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report. Clinical Neurology and Neuroscience, 1(1), 20-23. https://doi.org/10.11648/j.cnn.20170101.15

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ACS Style

Jang Sang Hyun. Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report. Clin. Neurol. Neurosci. 2017, 1(1), 20-23. doi: 10.11648/j.cnn.20170101.15

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AMA Style

Jang Sang Hyun. Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report. Clin Neurol Neurosci. 2017;1(1):20-23. doi: 10.11648/j.cnn.20170101.15

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@article{10.11648/j.cnn.20170101.15,
  author = {Jang Sang Hyun},
  title = {Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {1},
  number = {1},
  pages = {20-23},
  doi = {10.11648/j.cnn.20170101.15},
  url = {https://doi.org/10.11648/j.cnn.20170101.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20170101.15},
  abstract = {We report a patient who showed mixed cytotoxic and vasogenic edema on Magnetic Resonance Imaging (MRI) in association with partial status epilepticus. The patient experienced clonic movements of the left arm and leg. As the clonic movements continued, resulting eventually in epilepsia partialis continua, MRI showed characteristic cytotoxic edema in the epileptogenic focus and vasogenic edema in the region remote from the epileptogenic focus. The aim of this report is to support the evidence that partial seizure spreads through efferent projections from the cerebral cortex to the cerebellum, and findings of serially followed MRI suggest that cytotoxic edema persisted for a long time in contrast to vasogenic edema.},
 year = {2017}
}

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TY  - JOUR
T1  - Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report
AU  - Jang Sang Hyun
Y1  - 2017/03/27
PY  - 2017
N1  - https://doi.org/10.11648/j.cnn.20170101.15
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T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
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PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20170101.15
AB  - We report a patient who showed mixed cytotoxic and vasogenic edema on Magnetic Resonance Imaging (MRI) in association with partial status epilepticus. The patient experienced clonic movements of the left arm and leg. As the clonic movements continued, resulting eventually in epilepsia partialis continua, MRI showed characteristic cytotoxic edema in the epileptogenic focus and vasogenic edema in the region remote from the epileptogenic focus. The aim of this report is to support the evidence that partial seizure spreads through efferent projections from the cerebral cortex to the cerebellum, and findings of serially followed MRI suggest that cytotoxic edema persisted for a long time in contrast to vasogenic edema.
VL  - 1
IS  - 1
ER  -

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Author Information

Jang Sang Hyun

Department of Neurology, Eulji University School of Medicine, Daejeon, Korea

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APA Style

Jang Sang Hyun. (2017). Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report. Clinical Neurology and Neuroscience, 1(1), 20-23. https://doi.org/10.11648/j.cnn.20170101.15

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ACS Style

Jang Sang Hyun. Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report. Clin. Neurol. Neurosci. 2017, 1(1), 20-23. doi: 10.11648/j.cnn.20170101.15

Copy | Download

AMA Style

Jang Sang Hyun. Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report. Clin Neurol Neurosci. 2017;1(1):20-23. doi: 10.11648/j.cnn.20170101.15

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@article{10.11648/j.cnn.20170101.15,
  author = {Jang Sang Hyun},
  title = {Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report},
  journal = {Clinical Neurology and Neuroscience},
  volume = {1},
  number = {1},
  pages = {20-23},
  doi = {10.11648/j.cnn.20170101.15},
  url = {https://doi.org/10.11648/j.cnn.20170101.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20170101.15},
  abstract = {We report a patient who showed mixed cytotoxic and vasogenic edema on Magnetic Resonance Imaging (MRI) in association with partial status epilepticus. The patient experienced clonic movements of the left arm and leg. As the clonic movements continued, resulting eventually in epilepsia partialis continua, MRI showed characteristic cytotoxic edema in the epileptogenic focus and vasogenic edema in the region remote from the epileptogenic focus. The aim of this report is to support the evidence that partial seizure spreads through efferent projections from the cerebral cortex to the cerebellum, and findings of serially followed MRI suggest that cytotoxic edema persisted for a long time in contrast to vasogenic edema.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Differential Changes on Diffusion-Weighted MRI in a Patient with Partial Status Epilepticus: Case Report
AU  - Jang Sang Hyun
Y1  - 2017/03/27
PY  - 2017
N1  - https://doi.org/10.11648/j.cnn.20170101.15
DO  - 10.11648/j.cnn.20170101.15
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 20
EP  - 23
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20170101.15
AB  - We report a patient who showed mixed cytotoxic and vasogenic edema on Magnetic Resonance Imaging (MRI) in association with partial status epilepticus. The patient experienced clonic movements of the left arm and leg. As the clonic movements continued, resulting eventually in epilepsia partialis continua, MRI showed characteristic cytotoxic edema in the epileptogenic focus and vasogenic edema in the region remote from the epileptogenic focus. The aim of this report is to support the evidence that partial seizure spreads through efferent projections from the cerebral cortex to the cerebellum, and findings of serially followed MRI suggest that cytotoxic edema persisted for a long time in contrast to vasogenic edema.
VL  - 1
IS  - 1
ER  -

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