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European Radiology

, Volume 12, Issue 3, pp 568–574 | Cite as

Focal status epilepticus: follow-up by perfusion- and diffusion MRI

  • M. El-Koussy
  • J. Mathis
  • K. Lövblad
  • F. Stepper
  • C. Kiefer
  • G. Schroth
Neuro

Abstract.

Diffusion-weighted MRI demonstrated bright right temporoparietal cortex, right hippocampus, and left cerebellum in a 63-year-old female suffering a focal convulsive status epilepticus. Hyperperfusion was noted in the right temporoparietal region. Two days later, a tendency to normalization of most of the diffusion and perfusion changes was noted, apart from the right hippocampus which became brighter on diffusion- and T2-weighted images. On the tenth day the apparent diffusion coefficient was slightly elevated, getting brighter on T2-weighted images with suspected mild post-contrast enhancement. We postulate that the discharging right hippocampus suffered cytotoxic edema, which later progressed to cell damage.

Status epilepticus Diffusion-weighted MRI Perfusion-weighted MRI Cell death 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • M. El-Koussy
    • 1
  • J. Mathis
    • 2
  • K. Lövblad
    • 1
  • F. Stepper
    • 2
  • C. Kiefer
    • 1
  • G. Schroth
    • 1
  1. 1.Department of Neuroradiology, University of Bern, Inselspital, Freiburgstrasse 4, 3010 Bern, SwitzerlandSwitzerland
  2. 2.Department of Neurology, University of Bern, Inselspital, Freiburgstrasse 4, 3010 Bern, SwitzerlandSwitzerland

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