J Korean Neurol Assoc.  2009 Aug;27(3):272-275.

Periictal MR Perfusion Imaging in Aphasic Status Epilepticus

Affiliations
  • 1Department of Neurology, College of Medicine, Jeju National University, Jeju, Korea. nrlee71@yahoo.co.kr
  • 2Department of Radiology, College of Medicine, Jeju National University, Jeju, Korea.

Abstract

We report herein a patient with aphasic status epilepticus (ASE) who underwent serial brain magnetic resonance imaging (MRI) including diffusion-weighted imaging (DWI), perfusion imaging (PI), and magnetic resonance angiography (MRA) in the peri-ictal phase. The initial DWI revealed a high signal intensity in the left medial temporal area and PI demonstrated hyperperfusion in the left temporoparietal area. MRA revealed an increased flow signal in the ipsilateral intracranial arteries. PI signal changes had normalized by the follow-up MRI. The DWI, PI, MRA, and clinical manifestation of ASE are described herein.

Keyword

Aphasic status epilepticus (ASE); Diffusion-weighted imaging (DWI); Perfusion imaging (PI)

MeSH Terms

Arteries
Brain
Follow-Up Studies
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Perfusion
Perfusion Imaging
Status Epilepticus
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