Skip to main content
Log in

CT, MRI and SPECT neuroimaging in status epilepticus with simple partial and complex partial seizures: case report

  • Short Communications
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Summary

A 35-year-old female patient suffering from epilepsy was examined during status epilepticus with simple partial and complex partial seizures by means of EEG, CT, MRI and ictal SPECT. All these examinations showed focal abnormalities with identical location due to oedema and hypervascularisation; these were, however, absent during examinations carried out before and after status epilepticus.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Angeleri F, Provinciali L, Salvolini U (1980) Computerized tomography in partial epilepsy. In: Canger R, Angeleri F, Penry JK (eds) Advances in epileptology. XIth Epilepsy International Symposium 1979. Raven Press, New York, p 53

    Google Scholar 

  2. Bülau P, Penin H, Kuhnen C, Hünermann B (1987) Magnetische Resonanz Tomographie (MRT) und Computer-Tomographie bei Patienten mit komplex-partiellen Anfällen. Vergleich zweier bildgebender Verfahren. Aktuel Neurol 14:1–4

    Google Scholar 

  3. Engel J Jr, Kuhl DE, Phelps ME (1983) Regional brain metabolism during seizures in humans. In: Delgado-Escueta AV, Wasterlain CG, Treiman DM, Porter RJ (eds) Advances in neurology, vol 34, Status epilepticus. Raven Press, New York. pp 141–148

    Google Scholar 

  4. Goulatia RK, Verma A, Mishra NK, Ahuja GK (1987) Disappearing CT lesions in epilepsy. Epilepsia 28:523–527

    Google Scholar 

  5. Haan J, Deppe A (1984) Komplexe fokale Anfälle (KFA): Untersuchungen anhand von kranialem Computertomogramm (CCT), Klinik und EEG-Längsschnitt. Fortschr Neurol Psychiatr 52:177–184

    Google Scholar 

  6. Jabbari B, Gunderson CH, Wippold F, Citrin C, Sherman J, Bartoszek D, Daigh JD, Mitchell MH (1986) Magnetic resonance imaging in partial complex epilepsy. Arch Neurol 43:869–872

    Google Scholar 

  7. Jayakumar PN, Taly AB, Mohan PK (1985) Transient computerised tomographic (CT) abnormalities following partial seizures. Acta Neurol Scand 72:26–29

    Google Scholar 

  8. Ketz E, Meier HR (1979) Verlauf- und prognosebestimmende Faktoren beim Grand-mal-Status. Aktuel Neurol 6:233–239

    Google Scholar 

  9. Kramer RE, Lüders H, Lesser RP, Weinstein MR, Dinner DS, Morris HH, Wyllie E (1987) Transient focal abnormalities of neuroimaging studies during focal status epilepticus. Epilepsia 28:528–532

    Google Scholar 

  10. Kuhl DE, Engel J Jr, Phelps ME, Selin C (1980) Epileptic pattern of local metabolism and perfusion in man determined by emission computed tomography of 18FDG and 13NH3. Ann Neurol 8:360

    Google Scholar 

  11. Langenstein J, Kühne G, Bentele KHP, Rothe M (1980) Computertomographische Befunde bei verschiedenen kindlichen Epilepsien mit Grand mal-Anfällen und Herdanfällen sowie Fieberkrämpfen. Nervenarzt 51:607–615

    Google Scholar 

  12. Lammertsma AA (1984) Positron emission tomography of the brain: measurement of regional cerebral function in man. Clin Neurol Neurosurg 86:1–11

    Google Scholar 

  13. Latack JT, Abou-Khalil BW, Siegel GJ, Sackellares JC, Gabrielsen TO, Aisen AM (1986) Patients with partial seizures: evaluation by MR, CT, and PET imaging. Radiology 159:159–163

    Google Scholar 

  14. Lee SH, Goldberg HJ (1977) Hypervascular pattern associated with idiopathic focal status epilepticus. Radiology 125:159–163

    Google Scholar 

  15. Lee BI, Markand ON, Wellman HN, Siddiqui AR, Mock B, Krepshaw J, Kung H (1987) HIPDM Single photon emission computed tomography brain imaging in partial onset secondarily generalized tonic-clonic seizures. Epilepsia 28:305–311

    Google Scholar 

  16. Lesser RP, Modic MT, Weinstein MA, Duchesneau PM, Lüders H, Dinner DS, Morris III HH, Estes M, Chou SM, Hahn JF (1986) Magnetic resonance imaging (1.5 Tesla) in patients with intractable focal seizures. Arch Neurol 43:367–371

    Google Scholar 

  17. Maziotta JC, Engel J Jr (1984) The use and impact of positron computed tomography scanning in epilepsy. Epilepsia 25 [Suppl 2]:S86–104

    Google Scholar 

  18. McLachlan RS, Nicholson RL, Black S, Carr T, Blume WT (1985) Nuclear magnetic resonance imaging, a new approach to the investigation of refractory temporal lobe epilepsy. Epilepsia 26:55–56

    Google Scholar 

  19. Penfield W (1933) The evidence for a cerebral vascular mechanism in epilepsy. Ann Intern Med 7:303–310

    Google Scholar 

  20. Penfield W (1937) Circulation of the epileptic brain. Res Publ Res Nerv Mint Dis 18:605–637

    Google Scholar 

  21. Plum F, Posner JB, Troy B (1968) Cerebral metabolic and circulatory responsing to induced convulsions in animals. Arch Neurol 18:1–13

    Google Scholar 

  22. Podreka I (1987) HM-PAO in clinical practice. Nucl Med Commun 8:559–572

    Google Scholar 

  23. Sammaritano M, Andermann F, Melanson D, Pappius HM, Camfield P, Aicardie J, Sherwin A (1985) Prolonged focal cerebral edema associated with partial status epilepticus. Epilepsia 26:334–339

    Google Scholar 

  24. Stefan H, Kuhnen C, Biersack HJ, Reichmann K (1987) Initial experience with 99 m Tc-hexamethyl-propylene amine oxime (HM-PAO) single photon emission tomography (SPECT) in patients with focal epilepsy. Epilepsy Res 1:134–138

    Google Scholar 

  25. Stefan H, Pawlik G, Böcher-Schwarz HG, Biersack HJ, Burr W, Penin H, Heiss W-D (1987) Functional and morphological abnormalities in temporal lobe epilepsy: a comparison of interictal and ictal EEG, CT, MRI, SPECT and PET. J Neurol 234:377–384

    Google Scholar 

  26. Stefan H, Feistel H, Bauer J, Erbguth F, Wolf F, Neundörfer B (1988) Regionale Hirndurchblutungsänderungen im epileptischen Anfall: Messungen mittels 99mTC-HM-PAO-SPECT. Nervenarzt 59:299–303

    Google Scholar 

  27. Stone JL, Hughes JR, Barr A, Tan W, Russell E, Crowell RM (1986) Neuroradiological and electroencephalogrophical features in a case of temporal lobe status epilepticus. Neurosurgery 18:212–216

    Google Scholar 

  28. Theodore WH, Dorwart R, Holmes M, Porter RJ, Di Chiro G (1986) Neuroimaging in refractory partial seizures: comparison of PET, CT and MRI. Neurology 36:750–759

    Google Scholar 

  29. Yarnell PR, Burdick D, Sanders B, Stears J (1974) Focal seizures, early veins and increased flow. Neurology 24:512–516

    Google Scholar 

  30. Zegers de Beyl D, Hermanus N, Colle H, Goldman S (1985) Focal seizures with reversible hypodensity on the CT scan. J Neurol Neurosurg Psychiatry 48:187–188

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bauer, J., Stefan, H., Huk, W.J. et al. CT, MRI and SPECT neuroimaging in status epilepticus with simple partial and complex partial seizures: case report. J Neurol 236, 296–299 (1989). https://doi.org/10.1007/BF00314460

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00314460

Key words

Navigation