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J Korean Neurol Assoc. 2002 Jan;20(1):75-78. Korean. Case Report.
Moon SY , Seo DW , Kim HY , Shon YM , Park MS , Shin WC , Na DK , Hong SB .
Department of Neurology, Samsung Medical center, Sungkyunkwan University School of Medicine, Korea. dwseo@smc.samsung.co.kr
Department of Diagnostic Radiology, Samsung Medical center, Sungkyunkwan University School of Medicine, Korea.
Abstract

A 48-year-old woman presented with right visual aura evolving into versive and clonic seizures. The seizures were controlled not by anticonvulsants but bynormalization of blood sugar and not by anticonvulsants. T2-weighted MRI (T2WI) showed subcortical hypointensity and cortical hyperintensity with a low apparent diffusion coefficient (ADC) value in left occipital area, which reversed into a high ADC value at in follow-up images. Serial MRIs including diffu-sion- weighted images seemed to reveal tissue injury after partial status epilepticus and regional ischemia associated with non-ketotic hyperglycemia.

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