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Status epilepticus

Case contributed by Dr Ian Bickle

Presentation

A prolonged period of status epilepticus. Anoxic injury?

Patient Data

Age: 20 years
Gender: Female
MRI

Increased T2 signal, best appreciated on FLAIR, involving the cortices of all lobes bilaterally as well as the heads of caudate and lentiform nuclei.  With the exception of the basal ganglia, high DWI and low ADC signal, in keeping with diffusion restriction if evident in these areas.

The grey white matter differentiation is maintained.

The brainstem and cerebellum are normal.

 

Case Discussion

These MR appearances in typical in appearance and location for the brain during/following a period of status epilepticus.

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Case information

rID: 75778
Published: 13th Apr 2020
Last edited: 13th Apr 2020
Inclusion in quiz mode: Included

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