Crossed Cerebellar Diaschisis in Complex Partial Status Epilepticus
Journal of Korean Epilepsy Society
; : 37-39, 2011.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-788618
Responsible library:
WPRO
ABSTRACT
Crossed cerebellar diaschisis has been described mostly in hemispheric stroke and supratentorial tumors with positron-emission tomography (PET) and single photon emission computed tomography (SPECT). Rarely it has been described with brain diffusion-weighted MRI of status epilepticus. We report a patient with status epilepticus, who developed MRI abnormalities in the cerebral cortex and contralateral cerebellum. EEG abnormalities correlated anatomically with the cerebral cortex of image change. An aggressive medication resulted in seizure control, reversal of neurologic deficit, and improvement or resolution of the MRI and EEG abnormalities in 3 weeks. We concluded that both localization and resolution of lesions may be explained by reversible excitotoxic cell damage due to seizure-related excessive synaptic activity.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Seizures
/
Status Epilepticus
/
Brain
/
Supratentorial Neoplasms
/
Tomography, Emission-Computed, Single-Photon
/
Cerebellum
/
Cerebral Cortex
/
Stroke
/
Positron-Emission Tomography
/
Electroencephalography
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Epilepsy Society
Year:
2011
Document type:
Article