PMID- 16503204
OWN - NLM
STAT- MEDLINE
DCOM- 20060711
LR  - 20060508
IS  - 1525-5050 (Print)
IS  - 1525-5050 (Linking)
VI  - 8
IP  - 3
DP  - 2006 May
TI  - Transient and permanent magnetic resonance imaging abnormalities after complex 
      partial status epilepticus.
PG  - 666-71
AB  - Epileptic seizures, especially status epilepticus can produce MRI changes. In 
      contrast to convulsive status epilepticus (CSE), permanent parenchymal loss is 
      not well documented with nonconvulsive status epilepticus (NCSE) and the observed 
      MRI changes are transient. We describe a patient with non-lesional right-sided 
      temporal lobe epilepsy with complex partial seizures and repeated episodes of 
      untreated complex partial status epilepticus (CPSE). Diffusion-weighted MRI 
      exhibited marked and extended signal changes within the right temporal, frontal, 
      insular and cingulate regions. The affected areas are considered propagation 
      pathways of temporal lobe epilepsies. After admission, the patient was treated 
      with i.v. antiepileptic drugs. Behavioral, EEG and MRI signal changes resolved. 
      An atrophy of the right temporal lobe not seen in the pre-status MRI examinations 
      was observed 6 weeks after the resolution of MRI hyperintensities. Prior episodes 
      of CPSE had been correctly treated and remained without permanent brain damage. 
      This case report is in favour of immediate and aggressive treatment of partial 
      NCSE in order to avoid irreversible parenchymal loss.
FAU - Bauer, G
AU  - Bauer G
AD  - Universitatsklinik fur Neurologie, Innsbruck, Austria. Gernard.Bauer@uibk.ac.at
FAU - Gotwald, Th
AU  - Gotwald T
FAU - Dobesberger, J
AU  - Dobesberger J
FAU - Embacher, N
AU  - Embacher N
FAU - Felber, St
AU  - Felber S
FAU - Bauer, R
AU  - Bauer R
FAU - Seppi, K
AU  - Seppi K
FAU - Walser, G
AU  - Walser G
FAU - Trinka, E
AU  - Trinka E
FAU - Poewe, W
AU  - Poewe W
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20060228
PL  - United States
TA  - Epilepsy Behav
JT  - Epilepsy & behavior : E&B
JID - 100892858
SB  - IM
MH  - Adult
MH  - Electroencephalography
MH  - Epilepsy, Complex Partial/*diagnosis/pathology
MH  - Humans
MH  - *Magnetic Resonance Imaging
MH  - Male
MH  - Status Epilepticus/*pathology
EDAT- 2006/03/01 09:00
MHDA- 2006/07/13 09:00
CRDT- 2006/03/01 09:00
PHST- 2005/09/28 00:00 [received]
PHST- 2005/12/02 00:00 [revised]
PHST- 2006/01/05 00:00 [accepted]
PHST- 2006/03/01 09:00 [pubmed]
PHST- 2006/07/13 09:00 [medline]
PHST- 2006/03/01 09:00 [entrez]
AID - S1525-5050(06)00003-5 [pii]
AID - 10.1016/j.yebeh.2006.01.002 [doi]
PST - ppublish
SO  - Epilepsy Behav. 2006 May;8(3):666-71. doi: 10.1016/j.yebeh.2006.01.002. Epub 2006 
      Feb 28.