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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...

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Autores principales: Yamamoto, Shuzo, Mutoh, Tatsushi, Tatewaki, Yasuko, Tsurutani, Hisanobu, Watabe, Noriaki, Saito, Hiroshi, Yasui, Nobuyuki, Taki, Yasuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
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.
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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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