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Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging
CASE: Non‐convulsive status epilepticus (NCSE) is among the differential diagnoses of decreased consciousness, but often presents a diagnostic challenge. A 65‐year‐old woman was admitted to our emergency department with bradylalia. No abnormal finding was detected by computed tomography or magnetic...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328911/ https://www.ncbi.nlm.nih.gov/pubmed/30652001 http://dx.doi.org/10.1002/ams2.369 |
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author | Yamamoto, Shuzo Mutoh, Tatsushi Tatewaki, Yasuko Tsurutani, Hisanobu Watabe, Noriaki Saito, Hiroshi Yasui, Nobuyuki Taki, Yasuyuki |
author_facet | Yamamoto, Shuzo Mutoh, Tatsushi Tatewaki, Yasuko Tsurutani, Hisanobu Watabe, Noriaki Saito, Hiroshi Yasui, Nobuyuki Taki, Yasuyuki |
author_sort | Yamamoto, Shuzo |
collection | PubMed |
description | CASE: Non‐convulsive status epilepticus (NCSE) is among the differential diagnoses of decreased consciousness, but often presents a diagnostic challenge. A 65‐year‐old woman was admitted to our emergency department with bradylalia. No abnormal finding was detected by computed tomography or magnetic resonance imaging. Subsequently, acquired arterial spin‐labeling images showed hyperperfusion in the right hemisphere. OUTCOME: After the examination, the patient began experiencing left hemifacial seizures, which were relieved by diazepam; however, she was still agitated. Ictal confusion due to NCSE was suspected. Electroencephalography revealed periodic, generalized epileptiform activities with brief seizures of facial muscles by intermittent photic stimulation. Another supportive case of NCSE detected by arterial spin‐labeling from a 56‐year‐old right‐handed man has also been presented. CONCLUSION: Arterial spin‐labeling magnetic resonance perfusion imaging provides valuable information regarding cerebral perfusion status in NCSE patients in emergency/acute settings. |
format | Online Article Text |
id | pubmed-6328911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-63289112019-01-16 Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging Yamamoto, Shuzo Mutoh, Tatsushi Tatewaki, Yasuko Tsurutani, Hisanobu Watabe, Noriaki Saito, Hiroshi Yasui, Nobuyuki Taki, Yasuyuki Acute Med Surg Case Reports CASE: Non‐convulsive status epilepticus (NCSE) is among the differential diagnoses of decreased consciousness, but often presents a diagnostic challenge. A 65‐year‐old woman was admitted to our emergency department with bradylalia. No abnormal finding was detected by computed tomography or magnetic resonance imaging. Subsequently, acquired arterial spin‐labeling images showed hyperperfusion in the right hemisphere. OUTCOME: After the examination, the patient began experiencing left hemifacial seizures, which were relieved by diazepam; however, she was still agitated. Ictal confusion due to NCSE was suspected. Electroencephalography revealed periodic, generalized epileptiform activities with brief seizures of facial muscles by intermittent photic stimulation. Another supportive case of NCSE detected by arterial spin‐labeling from a 56‐year‐old right‐handed man has also been presented. CONCLUSION: Arterial spin‐labeling magnetic resonance perfusion imaging provides valuable information regarding cerebral perfusion status in NCSE patients in emergency/acute settings. John Wiley and Sons Inc. 2018-09-23 /pmc/articles/PMC6328911/ /pubmed/30652001 http://dx.doi.org/10.1002/ams2.369 Text en © 2018 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Case Reports Yamamoto, Shuzo Mutoh, Tatsushi Tatewaki, Yasuko Tsurutani, Hisanobu Watabe, Noriaki Saito, Hiroshi Yasui, Nobuyuki Taki, Yasuyuki Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging |
title | Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging |
title_full | Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging |
title_fullStr | Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging |
title_full_unstemmed | Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging |
title_short | Identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging |
title_sort | identification of non‐convulsive status epilepticus with bradylalia using arterial spin‐labeling magnetic resonance imaging |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328911/ https://www.ncbi.nlm.nih.gov/pubmed/30652001 http://dx.doi.org/10.1002/ams2.369 |
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