Simple Partial Status Epilepticus Localized by SPECT Subtraction in Chronic Cerebral Paragonimiasis.
- Author:
Eun Yeon JOO
1
;
Jee hyun KIM
;
Hyung Jin KIM
;
Hee Young SHIN
;
Woo Suk TAE
;
Ki Young CHUNG
;
Dae Weo SEO
;
Seunghwan KIM
;
Seung Bong HONG
Author Information
1. Department of Neurology, Samsung Medical Center & Center for Clinical Research, SBRI, Sungkyunkwan University School of Medicine, Seoul, APCTP/NCSL, Korea. hongsb@samsung.co.kr
- Publication Type:Case Report
- Keywords:
Paragonimiasis;
Partial epilepsy;
Status epilepticus;
SPECT;
Subtraction technique;
Ictal hyperperfusion
- MeSH:
Brain;
Electroencephalography;
Encephalomalacia;
Epilepsies, Partial;
Humans;
Magnetic Resonance Imaging;
Paragonimiasis*;
Seizures;
Status Epilepticus*;
Subtraction Technique;
Tomography, Emission-Computed, Single-Photon*
- From:Journal of Korean Epilepsy Society
2004;8(1):61-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A patient with chronic cerebral paragonimiasis began to have new motor seizures of the right face clonic contractions that occurred several hundred times a day resulting in the simple partial status epilepticus. The ictal EEG discharge started from the left frontal region and then spread to the left hemisphere. The ictal discharges were limited clearly to the left hemisphere. The brain MRI showed the multiple conglomerated round nodules with encephalomalacia in the left temporo-occipital lobes. Applying the ictal-interictal subtracted SPECT, we were able to localize the focal ictal hyperperfusion on the left precentral cortex adjacent to the lesions that correspond to the anatomical distribution of the left face motor area.
