کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5873939 1144660 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Nonconvulsive Partial Status Epilepticus Mimicking Recurrent Infarction Revealed by Diffusion-weighted and Arterial Spin Labeling Perfusion Magnetic Resonance Images
ترجمه فارسی عنوان
انسداد مجدد ناخوشایند ناشی از اختلالات ناشی از انسداد مجاری ناشی از اختلالات مغناطیسی مغز استخوان
کلمات کلیدی
سکته مغزی، هپارفیزیک ایکالات، وضعیت غیر وابسته به اپیلتکوس، تصویر توزیع وزن، برچسب زدن اسپین شریان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مغز و اعصاب بالینی
چکیده انگلیسی
“Non-convulsive” partial status epilepticus (SE) is an important pathologic condition that should be differentiated from cerebral infarction. Herein, we reported 2 patients who had partial SE associated with old infarction in the right parietal lobe. Each patient had 2 episodes of left hemiparesis and hemisensory disturbance without convulsion. On diffusion-weighted magnetic resonance images (DW-MRI), a hyperintense lesion was noted in the cortex around the old infarction lesion, and recurrent infarction was suspected. Although electroencephalography (EEG) failed to reveal ictal discharges or interictal paroxysmal activities in 3 of 4 episodes, perfusion images with arterial spin labeling (ASL) clearly demonstrated ictal hyperperfusion in the area corresponding to the cortical hyperintense lesion on DW-MRI. After appropriate anticonvulsant treatment based on the diagnosis of partial SE, clinical symptoms were completely improved. These data stress the importance of cortical hyperintensity on DW-MRI and ictal ASL hyperperfusion, even when SE cannot be determined from EEG.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Stroke and Cerebrovascular Diseases - Volume 24, Issue 4, April 2015, Pages 731-738
نویسندگان
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