Transient Imaging Findings Related to Status Epilepticus

Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 15 - 22 Metin Dili: İngilizce DOI: 10.14744/epilepsi.2020.40469
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Transient Imaging Findings Related to Status Epilepticus

Öz:
Objectives: We aim to draw attention to transient imaging findings related to epileptic seizures, which is a rare condition that is often over-looked and may even lead to misdiagnosis.Methods:Records of 106 patients with seizures were reviewed and patients with transient magnetic resonance imaging (MRI) findings were detected. Seizure type and transient imaging findings (TIF) features were analyzed retrospectively.Results:Status epilepticus (SE) was found in 45 of the 106 patients who had epileptic seizures, and 9 of them had TIF. The average age of the patients was 52.9 years (28–78). The first seizure was a SE in eight (89%) patients. Three (33.3%) had a focal SE, four (44.4%) had a generalized tonic-clonic SE, whereas two (22.2%) evolved from a focal seizure to a bilateral tonic-clonic seizure. All patients with focal features had a sei-zure semiology that was compatible with the TIF side. In cranial MRI, cortical changes were detected in six, thalamic changes in one, cortical and thalamic changes in one, and leptomeningeal enhancements in one patient. These changes returned to normal in all patients within two weeks. Two patients died due to non-SE causes, whereas other patients resumed their daily routines.Conclusion:MRI findings after SE are rare but if detected, are an important indicator with localization and lateralization values, contributing to the semiological findings and localization. It is often confused with conditions that are its differential diagnosis. Knowing the MRI changes associated with SE is important to avoid misdiagnosis, understand its pathophysiology, and determine the prognosis.
Anahtar Kelime:

Konular:
Fen > Tıp > Nörolojik Bilimler
Fen > Tıp > Klinik Nöroloji

Status Epileptikus ile İlişkili Geçici Görüntüleme Bulguları

Öz:
Amaç: Bu çalışmanın amacı, çoğunlukla gözden kaçan ve hatta yanlış tanıya neden olabilecek nadir bir durum olan epilepsi nöbetlerine bağlı geçici görüntüleme bulgularına dikkat çekmektir.Gereç ve Yöntem: Çalışmada nöbet geçiren 106 hastanın kayıtları gözden geçirilmiş ve geçici manyetik rezonans görüntüleme bulguları olan hastalar saptanmıştır. Nöbet tipi ve geçici görüntüleme bulgularının özellikleri retrospektif olarak incelenmiştir.Bulgular: Epilepsi nöbeti geçiren 106 hastanın 45’inde status epileptikus, dokuzunda geçici görüntüleme bulguları saptanmıştır. Ortalama yaş 52.9 (28-78 yıl) yıl olarak tespit edilmiştir. Hastaların sekizinde (%89) ilk nöbet status epileptikus olmuştur. Üçünde (%33.3) fokal status epilep-tikus, dördünde (%44.4) fokal nöbetten bilateral tonik-klonik nöbete evrilen status epileptikus, ikisinde (%22.2) jeneralize tonik-klonik status epileptikus saptanmıştır. Fokal özellik gösteren nöbetleri olan hastaların tamamında nöbet semiyolojisi ile geçici görüntüleme bulguları tarafı uyumlu bulunmuştur. Kraniyal manyetik rezonans görüntülemede altısında kortikal değişiklik, birinde talamik değişiklik, birinde kortikal ve ta-lamik değişiklik, birinde de leptomeningeal kontrastlanma saptanmıştır. Bu değişiklikler tüm hastalarda iki hafta içinde eski haline dönmüştür. İki hasta status epileptikus dışı nedenlerle kaybedilmiş, diğer hastalar günlük yaşamlarına geri dönmüşlerdir.Sonuç: Status epileptikus sonrası manyetik rezonans görüntüleme bulguları nadir görülen ancak saptanırsa lokalizasyon ve lateralizasyon de-ğeri olan, semiyolojik bulgulara ve lokalizasyona katkısı olan önemli bir göstergedir. Genellikle ayırıcı tanıya giren durumlarla karıştırılır. Status epileptikus ile manyetik rezonans görüntülemedeki değişikliklerin bilinmesi yanlış tanıdan kaçınmak, patofizyolojiyi anlamak ve prognozu belirlemek açısından önemlidir.
Anahtar Kelime:

Konular:
Fen > Tıp > Nörolojik Bilimler
Fen > Tıp > Klinik Nöroloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA BEBEK N, USLU F (2021). Transient Imaging Findings Related to Status Epilepticus. Epilepsi, 27(1), 15 - 22. 10.14744/epilepsi.2020.40469
Chicago BEBEK Nerses,USLU Ferda İLGEN Transient Imaging Findings Related to Status Epilepticus. Epilepsi 27, no.1 (2021): 15 - 22. 10.14744/epilepsi.2020.40469
MLA BEBEK Nerses,USLU Ferda İLGEN Transient Imaging Findings Related to Status Epilepticus. Epilepsi, vol.27, no.1, 2021, ss.15 - 22. 10.14744/epilepsi.2020.40469
AMA BEBEK N,USLU F Transient Imaging Findings Related to Status Epilepticus. Epilepsi. 2021; 27(1): 15 - 22. 10.14744/epilepsi.2020.40469
Vancouver BEBEK N,USLU F Transient Imaging Findings Related to Status Epilepticus. Epilepsi. 2021; 27(1): 15 - 22. 10.14744/epilepsi.2020.40469
IEEE BEBEK N,USLU F "Transient Imaging Findings Related to Status Epilepticus." Epilepsi, 27, ss.15 - 22, 2021. 10.14744/epilepsi.2020.40469