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부분 간질 중첩증 환자에서의 혈관성 부종

Other Titles
 Vasogenic Edema in a Patient with Partial Status Epilepticus 
Authors
 최혜연  ;  허경  ;  김미애  ;  이병인 
Citation
 Journal of Korean Epilepsy Society (대한간질학회지), Vol.9(1) : 86-89, 2005 
Journal Title
 Journal of Korean Epilepsy Society (대한간질학회지) 
ISSN
 1226-6965 
Issue Date
2005
MeSH
Partial status epilepticus ; Diffusion-weighted MRI ; Vasogenic edema
Keywords
Partial status epilepticus ; Diffusion-weighted MRI ; Vasogenic edema
Abstract
We report a patient who showed vasogenic edema on MRI in association with partial status epilepticus. The patient, for a month, experienced clonic movements of the right arm and leg. As the amplitude and frequency of the clonic movements increased, resulting in epilepsia partialis continua, MRI showed characteristic vasogenic edema features;normal or decreased signal on diffusion-weighted imaging, and increased apparent diffusion coefficient value in the left parasagittal frontal region with strong leptomeningeal enhancement. This region was corresponded to the leg motor area, which was correlated with the degree of hypemetabolism of ictal FDG-PET findings. Considering limited progression of the seizure activity and focal slow waves on EEG, time-locked by clonic jerks, which might result from synaptic inhibition, this case suggests that vasogenic edema may be associated with a lower intensity of the seizure activity compared with cytotoxic edema noted in most of the reported patients.
Files in This Item:
T200500404.pdf Download
DOI
OAK-2005-03348
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Mi Ae(김미애)
Lee, Byung In(이병인)
Heo, Kyoung(허경)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147611
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