CareLit Fachartikel

DWI identifies tissue change due to prolonged ictal activity in stroke-related epilepsy

K Szabo, J Hirsch, B Pohlmann-Eden, O Sedlaczek, M Griebe, R Kern, M Hennerici, A Gass · Aktuelle Neurologie · 2005 · Heft 10

Dokument
1009733
CareLit-ID
Jahr
2005
Publikation
PDF
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Metadaten
DOI
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Bibliografische Angaben

Zeitschrift
Aktuelle Neurologie
Autor:innen
K Szabo, J Hirsch, B Pohlmann-Eden, O Sedlaczek, M Griebe, R Kern, M Hennerici, A Gass
Ausgabe
Heft 10 / 2005
Seiten
–
Erschienen: 2005-10-26 00:00:00
ISSN
0302-4350
DOI
10.1055/s-2005-919564

Zusammenfassung

Background: DWI has been shown to detect acute ischemic lesions and also to detect early tissue changes related to ictal activity. Focally reduced water diffusion and lactate accumulation result from metabolic compromise due to prolonged ictal overactivation. Several studies have demonstrated reduced ADCs in patients with complex partial status epilepticus (CPSE). Methods: We report 10 patients with acute unexplained prolonged clinical deficits (mean 5.3h) – (e.g. hemiparesis, somnolence, confusion) and a differential diagnosis of focal cerebral ischemia and/or CPSE. Patients had a history of chronic territorial…

Schlagworte

Aktuelle Neurologie