Purpose: To describe imaging findings in the hippocampus in status epilepticus with fast spin-echo (SE) magnetic resonance (MR) imaging.
Materials And Methods: Five patients with status epilepticus were examined with fast SE MR imaging, and the findings were correlated with neuropathologic observations of status epilepticus.
Results: One patient with diffuse bilateral hippocampal and amygdalal abnormal hyperintensity died. In three patients with hippocampal abnormal hyperintensity and enlargement, hyperintensity and enlargement, follow-up fast SE MR images depicted decreased hyperintensity and swelling; one patient has remained seizure free at 6 months follow-up; a complex partial seizure disorder developed in two, and repeat images demonstrated hippocampal atrophy.
Conclusion: T2-weighted fast SE MR images demonstrate reversible abnormal hyperintensity and swelling of the hippocampus and amygdala in patients with status epilepticus. Sequential fast SE MR imaging allows differentiation of this process from neoplasia and is useful in documentation of post-status epilepticus developments such as mesial temporal sclerosis.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1148/radiology.194.1.7997562 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
This paper is based on a presentation made at the 9th London-Innsbruck Colloquium on Status Epilepticus and Acute Seizures in April 2024. Status Epilepticus (SE) is a neurological emergency involving prolonged seizures that disrupt brain function and may cause severe, long-term neurological damage. Developmental and Epileptic Encephalopathies (DEEs), a group of severe genetic disorders with early-onset epilepsy, often exhibit SE episodes that compound their inherent cognitive and developmental challenges.
View Article and Find Full Text PDFRhythmic EEG patterns: The oldest idea in the EEG world, but without an obvious definition.
Clin Neurophysiol
January 2025
Epilepsy and EEG Unit, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
The word "rhythmic" was quickly introduced in the vocabulary of the electroencephalographers with the discovery of the alpha rhythm and typical discharges of spike-and-waves at 3 Hz in childhood absence epilepsy, but without any definition until recently. In its last revision (2017), the International Federation of Clinical Neurophysiology proposed a specific definition. The word "rhythmic" is "applied to regular waves occurring at a constant period and of relatively uniform morphology.
View Article and Find Full Text PDFBACKGROUND: Status epilepticus is an emergency, and applying electroencephalography (EEG) monitoring is an important part of diagnosing and treating seizure. The use of rapidly applied limited array continuous EEG (rapid EEG) has become technologically feasible in recent years. Nurse-led protocols using rapid EEG as a point-of-care monitor are increasingly being adopted.
View Article and Find Full Text PDFCase Report: Diagnosis and treatment of with central nervous system anomalies in one patient.
Front Pediatr
January 2025
Department of Pediatrics, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.
Introduction: This article reports a detailed case of a patient with who exhibited epileptic status and dermatologic symptoms.
Case Presentation: A 5-month-old female patient was brought to our hospital due to status epilepticus, with erythematous vesicular skin lesions on her trunk and extremities. Routine magnetic resonance imaging revealed infarction, ischemia, and encephalomalacia.
High-field MRI findings in epileptic dogs with a normal inter-ictal neurological examination.
Front Vet Sci
January 2025
Small Animal Teaching Hospital, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Neston, United Kingdom.
Introduction: Epilepsy is one of the most common chronic neurological conditions affecting dogs. Previous research exploring the likelihood of a structural cause of epilepsy specifically in dogs with a normal inter-ictal examination is limited to a small population of dogs using low-field MRI. The aims of this study were to establish high-field (1.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!