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サイトウ サトシ
斉藤 聡志 所属 医学部 医学科（東京女子医科大学病院） 職種 助教 |
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| 論文種別 | 症例報告 |
| 言語種別 | 日本語 |
| 査読の有無 | 査読あり |
| 表題 | [MRI arterial spin labeling is useful for diagnosing recovery from nonconvulsive status epilepticus with sustained periodic discharges]. |
| 掲載誌名 | 正式名：Rinsho shinkeigaku = Clinical neurology 略 称：Rinsho Shinkeigaku ISSNコード：18820654/0009918X |
| 掲載区分 | 国内 |
| 巻・号・頁 | 62(1),49-52頁 |
| 著者・共著者 | Saito Satoshi, Iijima Mutsumi, Seki Misa, Yoshizawa Hiroshi, Kitagawa Kazuo |
| 担当区分 | 筆頭著者,責任著者 |
| 発行年月 | 2022/01 |
| 概要 | A 75-year-old man with a history of temporal lobe epilepsy (treated with levetiracetam) was transferred to our hospital because of loss of consciousness. At admission, he was drowsy and exhibited myoclonus on the left side of face. We established a diagnosis of status epilepticus and started treatment with levetiracetam, fosphenytoin, and midazolam. FLAIR and DWI showed hyperintensity in the right cerebral cortex. Electroencephalography (EEG) showed lateralized periodic discharges (LPDs) at the right hemisphere, indicative of non-convulsive status epilepticus (NCSE). He regained consciousness after treatment with anti-epileptic drugs but showed persistent LPDs in EEG. MRI arterial spin labeling (ASL) showed normal perfusion in the right hemisphere; therefore, he was deemed to have recovered from status epilepticus and transferred to the rehabilitation hospital. MRI ASL is useful for diagnosing recovery from NCSE irrespective of sustained periodic discharges on EEG. |
| DOI | 10.5692/clinicalneurol.cn-001636 |
| PMID | 34924466 |