دورية أكاديمية
Usefulness of magnetic resonance imaging in differentiation between status epilepticus and acute ischemic stroke.
| العنوان: | Usefulness of magnetic resonance imaging in differentiation between status epilepticus and acute ischemic stroke. |
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| المؤلفون: | Matsumoto N; Department of Neurology, Kurashiki Heisei Hospital, 4-3-38, Oimatsu-cho, Kurashiki, Okayama 710-0826, Japan. Electronic address: b08m1060a@gmail.com., Ogawa T; Neuroradiology Center, Kurashiki Heisei Hospital, 4-3-38, Oimatsu-cho, Kurashiki, Okayama 710-0826, Japan. Electronic address: toshihideogawa@gmail.com., Shibazaki K; Department of Stroke Medicine, Kurashiki Heisei Hospital, 4-3-38, Oimatsu-cho, Kurashiki, Okayama 710-0826, Japan. Electronic address: shibaken@heisei.or.jp., Hishikawa N; Department of Neurology, Kurashiki Heisei Hospital, 4-3-38, Oimatsu-cho, Kurashiki, Okayama 710-0826, Japan., Wakutani Y; Department of Neurology, Kurashiki Heisei Hospital, 4-3-38, Oimatsu-cho, Kurashiki, Okayama 710-0826, Japan. Electronic address: y_wakutani@heisei.or.jp., Takao Y; Department of Neurology, Kurashiki Heisei Hospital, 4-3-38, Oimatsu-cho, Kurashiki, Okayama 710-0826, Japan. Electronic address: y4ktakao@heisei.or.jp. |
| المصدر: | Journal of the neurological sciences [J Neurol Sci] 2024 Jul 15; Vol. 462, pp. 123066. Date of Electronic Publication: 2024 May 29. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0375403 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-5883 (Electronic) Linking ISSN: 0022510X NLM ISO Abbreviation: J Neurol Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Amsterdam : Elsevier, <19 -> |
| مواضيع طبية MeSH: | Status Epilepticus*/diagnostic imaging , Magnetic Resonance Imaging*/methods , Ischemic Stroke*/diagnostic imaging, Humans ; Female ; Male ; Aged ; Aged, 80 and over ; Retrospective Studies ; Diagnosis, Differential ; Diffusion Magnetic Resonance Imaging/methods ; Brain Ischemia/diagnostic imaging ; Stroke/diagnostic imaging |
| مستخلص: | Background: Status epilepticus, characterized by the temporal neurological deficits, often mimics acute ischemic stroke. We investigated the usefulness of magnetic resonance imaging for differentiation of status epilepticus from acute ischemic stroke. Methods: A retrospective case series of patients with status epilepticus who underwent brain magnetic resonance imaging. For comparative analysis, a series of patients with acute ischemic stroke caused by unilateral middle cerebral artery occlusion was used. Results: Ten patients (4 females and 6 males) with status epilepticus who underwent brain magnetic resonance imaging were included. The median age at diagnosis was 82 years (age range, 70-90 years). In all ten patients, hyperintensities in diffusion-weighted imaging with decreased apparent diffusion coefficient values, decreased venous intensity in susceptibility-weighted imaging, and hyperperfusion in arterial spin labeling perfusion were detected in the cortex of the affected side. Four patients showed an additional diffusion restriction in the thalamus. The apparent diffusion coefficient value of the lesional area was 13.1% less than the contralateral, which was less than one-third as acute ischemic stroke. Status epilepticus patients showed no change in medullary venous intensity of the affected area in susceptibility-weighted imaging, whereas acute ischemic stroke patients showed increased cortical and medullary venous intensity in affected hemisphere. Seven of eight patients with status epilepticus who underwent magnetic resonance angiography showed dilation of the cerebral arteries in the ipsilateral side. Conclusions: The combined use of diffusion-weighted imaging, susceptibility-weighted imaging, and arterial spin labeling perfusion may help accurate and prompt diagnosis of status epilepticus. (Copyright © 2024 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Acute ischemic stroke; Magnetic resonance imaging; Perfusion-weighted magnetic resonance imaging; Status epilepticus |
| تواريخ الأحداث: | Date Created: 20240602 Date Completed: 20240710 Latest Revision: 20240710 |
| رمز التحديث: | 20240711 |
| DOI: | 10.1016/j.jns.2024.123066 |
| PMID: | 38824818 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-5883 |
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| DOI: | 10.1016/j.jns.2024.123066 |