지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 25 - 27 (3page)
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초록· 키워드
오류제보하기
Background:Status epilepticus (SE) may be associated with increased intensity in the cerebral cortex as observed on diffusion-weighted and fluid-attenuated inversion recovery magnetic resonance imaging (MRI). Rarely, this change in intensity also occurs in the contralateral cerebellum, although the pathophysiology of this phenomenon in epilepsy is not fully understood. Here, we present a case of crossed cerebellar diaschisis in convulsive status epilepticus and discuss the changes in serial MRI findings. Case Report:A 48-year-old female patient was admitted to our hospital. She experienced an intermittent seizure every couple of months since infancy. One month before her admission, she discontinued the anticonvulsant medication by herself. On the admission day, she was found by her son in comatose mental status with a convulsive seizure involving the left side of the body. The seizure was controlled after administration of lorazepam and intravenous loading of levetiracetam. Brain MRI showed diffusion restriction in the right frontal lobe and left cerebellar hemisphere. The symptom of left hemiparesis persisted. Follow-up MRI was performed after 1 month, and it showed an atrophic change in the right hemisphere and diffuse cortical laminar necrosis with a mild atrophic change in the left cerebellar hemisphere. Conclusion:Our case, which showed high intensity in the right cerebral hemisphere and the contralateral cerebellum on diffusion-weighted imaging, developed permanent cerebral and cerebellar damage.
목차
등록된 정보가 없습니다.
참고문헌 (6)
참고문헌 신청
Men S / 2000 / Selective neuronal necrosis associated with status epilepticus : MR findings / AJNR Am J Neuroradiol 21:1831~1842
Ahn HS / 2014 / Two cases of crossed cerebellar diaschisis with or without thalamic lesion on brain MRI in status epilepticus / J Epilepsy Res 4:74~77
Graffeo CS / 2016 / Prognostic and mechanistic factors characterizing seizure-associated crossed cerebellar diaschisis / Neurocrit Care 24:258~263
Huang YC / 2009 / Periictal magnetic resonance imaging in status epilepticus / Epilepsy Res 86:72~81
Teixeira RA / 2002 / Crossed cerebellar atrophy in patients with prococious destructive brain insults / Arch Neurol 59:843~847
Ahn HS / 2014 / Two cases of crossed cerebellar diaschisis with or without thalamic lesion on brain MRI in status epilepticus / J Epilepsy Res 4:74~77
Graffeo CS / 2016 / Prognostic and mechanistic factors characterizing seizure-associated crossed cerebellar diaschisis / Neurocrit Care 24:258~263
Huang YC / 2009 / Periictal magnetic resonance imaging in status epilepticus / Epilepsy Res 86:72~81
Teixeira RA / 2002 / Crossed cerebellar atrophy in patients with prococious destructive brain insults / Arch Neurol 59:843~847
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