Subcortical hypointensity in partial status epilepticus associated with nonketotic hyperglycemia

被引:37
作者
Seo, DW
Na, DG
Na, DL
Moon, SY
Hong, SB
机构
[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Neurol, Seoul 175230, South Korea
[2] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol, Seoul 175230, South Korea
关键词
magnetic resonance imaging; hyperglycemia; status epilepticus; hypointensity;
D O I
10.1177/1051228403251629
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Transient gray and white matter magnetic resonance signal changes have frequently been reported because of underlying epileptic activity. However, transient subcortical hypointensity on T2 and flu id-attenuated inversion recovery images in the setting of status epilepticus (SE) has rarely been reported. The authors note 3 of 6 retrospective cases with partial SE associated with nonketotic hyperglycemia showing transient subcortical T2 hypointensity near the epileptic focus. These changes may be due to the accumulation of free radicals and iron deposition related to a hyperglycemia-induced hypoxic-ischemic state.
引用
收藏
页码:259 / 263
页数:5
相关论文
共 15 条
[1]   T2 hypointensity in the deep gray matter of patients with multiple sclerosis - A quantitative magnetic resonance imaging study [J].
Bakshi, R ;
Benedict, RHB ;
Bermel, RA ;
Caruthers, SD ;
Puli, SR ;
Tjoa, CW ;
Fabiano, AJ ;
Jacobs, L .
ARCHIVES OF NEUROLOGY, 2002, 59 (01) :62-68
[2]   Diffusion- and magnetisation transfer-weighted MRI in childhood moya-moya [J].
Chabbert, V ;
Ranjeva, JP ;
Sevely, A ;
Boetto, S ;
Berry, I ;
Manelfe, C .
NEURORADIOLOGY, 1998, 40 (04) :267-271
[3]   Diffusion-weighted magnetic resonance imaging in nonconvulsive status epilepticus [J].
Chu, K ;
Kang, DW ;
Kim, JY ;
Chang, KH ;
Lee, SK .
ARCHIVES OF NEUROLOGY, 2001, 58 (06) :993-998
[4]  
CROSS PA, 1990, AM J NEURORADIOL, V11, P341
[5]   IRON ACCUMULATION IN THE BASAL GANGLIA FOLLOWING SEVERE ISCHEMIC-ANOXIC INSULTS IN CHILDREN [J].
DIETRICH, RB ;
BRADLEY, WG .
RADIOLOGY, 1988, 168 (01) :203-206
[6]   Changes in diffusion-weighted MRI after status epilepticus [J].
Hisano, T ;
Ohno, M ;
Egawa, T ;
Takano, T ;
Shimada, M .
PEDIATRIC NEUROLOGY, 2000, 22 (04) :327-329
[7]  
IDA M, 1994, AM J NEURORADIOL, V15, P1387
[8]   Early diffusion-weighted MR imaging abnormalities in sustained seizure activity [J].
Kassem-Moussa, H ;
Provenzale, JM ;
Petrella, JR ;
Lewis, DV .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (05) :1304-1306
[9]   Non-convulsive status epilepticus with marked neuropsychiatric manifestations and MRI changes after treatment of hypercalcaemia [J].
Kümpfel, T ;
Lechner, C ;
Auer, D ;
Kraft, E ;
Lydtin, H ;
Trenkwalder, C .
ACTA NEUROLOGICA SCANDINAVICA, 2000, 102 (05) :337-339
[10]   MRI abnormalities associated with partial status epilepticus [J].
Lansberg, MG ;
O'Brien, MW ;
Norbash, AM ;
Moseley, ME ;
Morrell, M ;
Albers, GW .
NEUROLOGY, 1999, 52 (05) :1021-1027