Magnetic Resonance Imaging Findings in Status Epilepticus: A Case Report

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2021-01-20 DOI:10.33706/JEMCR.845999
Berrak Barutcu Asfuroğlu, Yaprak Özüm Ünsal, Umut Asfuroğlu, A. Koç
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Abstract

Introduction: Status epilepticus (SE) is a neurological emergency in which prolonged seizures require rapid diagnosis and treatment. It is classified as convulsive, non-convulsive and electrographic patterns. Neuroimaging findings associated with status epilepticus may raise suspicion of ischemia, encephalitis, or neoplastic lesions possibly leading to additional studies and surgical treatment. Further follow-up imaging may prevent unnecessary intervention due to the fact that findings in status epilepticus may be reversible. Case Report: We report a case of convulsive status epilepticus with electroencephalography and cranial magnetic resonance imaging (MRI) findings discussing differential diagnosis. Conclusion: Our case highlights that clinicians should be aware of this potential fatal condition and start the treatment immediately.
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癫痫持续状态的磁共振成像表现:1例报告
引言:癫痫持续状态(SE)是一种神经系统紧急情况,长期癫痫发作需要快速诊断和治疗。它分为抽搐型、非抽搐型和电图型。与癫痫持续状态相关的神经影像学检查结果可能会引起对缺血、脑炎或肿瘤病变的怀疑,从而可能导致额外的研究和手术治疗。由于癫痫持续状态的发现可能是可逆的,进一步的随访成像可以防止不必要的干预。病例报告:我们报告了一例痉挛性癫痫持续状态,脑电图和头颅磁共振成像(MRI)结果讨论了鉴别诊断。结论:我们的病例强调临床医生应该意识到这种潜在的致命情况,并立即开始治疗。
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