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Journal of Neurology

, Volume 257, Issue 12, pp 2094–2096 | Cite as

Unilateral cerebral hemisphere oedema as a peri-ictal phenomenon

  • Camille CarrollEmail author
  • Konrad Krolikowski
  • William Mukonoweshuro
  • Jonathan Jones
  • C. Oliver Hanemann
Letter to the Editors
  • 81 Downloads

Dear Sirs,

Focal peri-ictal abnormalities on cerebral imaging are well described [1], most commonly mimicking tumours [2, 5]. More extensive abnormalities resembling cerebral ischaemia are more rarely described. Here we describe a case of extensive peri-ictal cerebral oedema.

A 37 year-old man with a known craniopharyngioma and secondary epilepsy presented following a cluster of tonic-clonic seizures occurring over the course of a day. At the time of admission he was experiencing generalised tonic-clonic seizures every 10 min. He was apyrexial and normotensive. Neurological examination showed right-sided hemiparesis, right hemianopia and dysphasia. His white blood cell count and C reactive protein were normal. Treatment with phenytoin and lorazepam resulted in resolution of his seizures.

He had been diagnosed with craniopharyngioma at the age of 20 when he presented with a 4-year history of partial seizures manifesting as vacant episodes or right arm focal motor jerks. MRI scan at the...

Keywords

Apparent Diffusion Coefficient Status Epilepticus Topiramate Diffusion Weighted Imaging Partial Seizure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Camille Carroll
    • 1
    • 2
    Email author
  • Konrad Krolikowski
    • 2
  • William Mukonoweshuro
    • 3
  • Jonathan Jones
    • 3
  • C. Oliver Hanemann
    • 1
    • 2
  1. 1.Department of Clinical NeurobiologyPeninsula Medical SchoolPlymouthUK
  2. 2.Department of NeurologyPlymouth Hospitals NHS TrustPlymouthUK
  3. 3.Department of NeuroradiologyPlymouth Hospitals NHS TrustPlymouthUK

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