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Imaging in Status Epilepticus

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Status Epilepticus

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

The study of seizures and status epilepticus (SE) has seen tremendous advances over the last few decades, particularly in neuroimaging. Modern neuroimaging has made it possible to demonstrate structural etiologies for seizures and epilepsy that would have been considered “cryptogenic” previously. Similarly, nuclear imaging studies have demonstrated complementary metabolic or functional correlates of ictal, interictal, and post-ictal activity. During SE, neuroimaging has practical limitations. SE is typically a medical emergency requiring prompt therapeutic intervention, and prolonged comprehensive imaging studies should not delay appropriate medical care. It is also challenging to choose among the many types of imaging modalities in order to obtain the best information, while maintaining patient safety. There are practical, financial, and therapeutic considerations in choosing the most appropriate imaging modality for a particular clinical situation.

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References

  1. Bauer J, Stefan H, Huk WJ, Feistel H, Hilz MJ, Brinkmann HG, et al. CT, MRI and SPECT neuroimaging in status epilepticus with simple partial and complex partial seizures: case report. J Neurol. 1989;236(5):296–9.

    Article  CAS  PubMed  Google Scholar 

  2. Mendes A, Sampaio L. Brain magnetic resonance in status epilepticus: a focused review. Seizure. 2016;38:63–7.

    Article  PubMed  Google Scholar 

  3. Kim JA, Chung JI, Yoon PH, Kim DI, Chung TS, Kim EJ, Jeong EK. Transient MR signal changes in patients with generalized tonicoclonic seizure or status epilepticus: periictal diffusion-weighted imaging. AJNR Am J Neuroradiol. 2001;22(6):1149–60.

    CAS  PubMed  Google Scholar 

  4. Hicdonmez T, Utku U, Turgut N, Cobanoglu S, Birgili B. Reversible postictal MRI change mimicking structural lesion. Clin Neurol Neurosurg. 2003;105(4):288–90.

    Article  PubMed  Google Scholar 

  5. Canas N, Soares P, Calado S, Pestana R, Ribeiro C, Vale J. Pathophysiology and long-term outcome of reversible tumor-like lesions induced by presenting status epilepticus. J Neuroimaging. 2010;20(2):169–74.

    Article  PubMed  Google Scholar 

  6. Chatzikonstantinou A, Gass A, Forster A, Hennerici MG, Szabo K. Features of acute DWI abnormalities related to status epilepticus. Epilepsy Res. 2011;97(1–2):45–51.

    Article  PubMed  Google Scholar 

  7. Lansberg MG, O’Brien MW, Norbash AM, Moseley ME, Morrell M, Albers GW. MRI abnormalities associated with partial status epilepticus. Neurology. 1999;52(5):1021–7.

    Article  CAS  PubMed  Google Scholar 

  8. Chu K, Kang DW, Kim JY, Chang KH, Lee SK. Diffusion-weighted magnetic resonance imaging in nonconvulsive status epilepticus. Arch Neurol. 2001;58(6):993–8.

    Article  CAS  PubMed  Google Scholar 

  9. Kawai N, Miyake K, Kuroda Y, Yamashita S, Nishiyama Y, Monden T, et al. Magnetic resonance imaging and positron emission tomography findings in status epilepticus following severe hypoglycemia. Ann Nucl Med. 2006;20(5):371–6.

    Article  PubMed  Google Scholar 

  10. Yoong M, Martinos MM, Chin RF, Clark CA, Scott RC. Hippocampal volume loss following childhood convulsive status epilepticus is not limited to prolonged febrile seizures. Epilepsia. 2013;54(12):2108–15.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Canas N, Breia P, Soares P, Saraiva P, Calado S, Jordão C, Vale J. The electroclinical-imagiological spectrum and long-term outcome of transient periictal MRI abnormalities. Epilepsy Res. 2010;91(2–3):240–52.

    Article  PubMed  Google Scholar 

  12. Rennebaum F, Kassubek J, Pinkhardt E, Hübers A, Ludolph AC, Schocke M, Fauser S. Status epilepticus: clinical characteristics and EEG patterns associated with and without MRI diffusion restriction in 69 patients. Epilepsy Res. 2016;120:55–64.

    Article  PubMed  Google Scholar 

  13. Doherty CP, Cole AJ, Grant PE, Fischman A, Dooling E, Hoch DB, et al. Multimodal longitudinal imaging of focal status epilepticus. Can J Neurol Sci. 2004;31(2):276–81.

    Article  PubMed  Google Scholar 

  14. Maeda Y, Oguni H, Saitou Y, Saitou Y, Mutoh A, Imai K, et al. Rasmussen syndrome: multifocal spread of inflammation suggested from MRI and PET findings. Epilepsia. 2003;44(8):1118–21.

    Article  PubMed  Google Scholar 

  15. Van Paesschen W, Porke K, Fannes K, Vandenberghe R, Palmini A, van Laere K, Dupont P. Cognitive deficits during status epilepticus and time course of recovery: a case report. Epilepsia. 2007;48(10):1979–83.

    Article  PubMed  Google Scholar 

  16. Kim J, Park JH, Ryu YH, Lee KY. Tc-99 m ECD SPECT and FDG PET in partial status epilepticus resulting from cerebral sparganosis. Clin Nucl Med. 2006;31(5):307–9.

    Article  PubMed  Google Scholar 

  17. Handforth A, Cheng JT, Mandelkern MA, Treiman DT. Markedly increased mesiotemporal lobe metabolism in a case with PLEDs: further evidence that PLEDs are a manifestation of partial status epilepticus. Epilepsia. 1994;35(4):876–81.

    Article  CAS  PubMed  Google Scholar 

  18. O’Brien TJ, So EL, Mullan BP, Hauser MF, Brinkmann BH, Bohnen NI, et al. Subtraction ictal SPECT co-registered to MRI improves clinical usefulness of SPECT in localizing the surgical seizure focus. Neurology. 1998;50(2):445–54.

    Article  PubMed  Google Scholar 

  19. Thomas P, Zifkin B, Migneco O, Lebrun C, Darcourt J, Andermann F. Nonconvulsive status epilepticus of frontal origin. Neurology. 1999;52(6):1174–83.

    Article  CAS  PubMed  Google Scholar 

  20. Juhász C, Scheidl E, Szirmai I. Reversible focal MRI abnormalities due to status epilepticus. An EEG, single photon emission computed tomography, transcranial Doppler follow-up study. Electroencephalogr Clin Neurophysiol. 1998;107(6):402–7.

    Article  PubMed  Google Scholar 

  21. Ali II, Pirzada NA, Vaughn BV. Periodic lateralized epileptiform discharges after complex partial status epilepticus associated with increased focal cerebral blood flow. J Clin Neurophysiol. 2001;18(6):565–9.

    Article  CAS  PubMed  Google Scholar 

  22. Tatum WO, Alavi A, Stecker MM. Technetium-99 m-HMPAO SPECT in partial status epilepticus. J Nucl Med. 1994;35(7):1087–94.

    CAS  PubMed  Google Scholar 

  23. Kutluay E, Beattie J, Passaro EA, Edwards JC, Minecan D, Milling C, et al. Diagnostic and localizing value of ictal SPECT in patients with nonconvulsive status epilepticus. Epilepsy Behav. 2005;6(2):212–7.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurology, Clinical Neurophysiology Laboratories, Clinical Services, MUSC Comprehensive Epilepsy Center, The Medical University of South Carolina, Clinical Science Building Suite 30796, Jonathan Lucas St, Charleston, SC, 29425-6160, USA

    Jonathan C. Edwards & Leonardo Bonilha

  2. Department of Radiology, University of Michigan Hospitals, 1500 East Medical Center Dr, Ann Arbor, MI, 48109, USA

    Diana M. Gomez-Hassan

Authors
  1. Jonathan C. Edwards
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  2. Diana M. Gomez-Hassan
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  3. Leonardo Bonilha
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Corresponding author

Correspondence to Jonathan C. Edwards .

Editor information

Editors and Affiliations

  1. Department of Neurology, Harvard Medical School, Comprehensive Epilepsy Center, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA

    Frank W. Drislane

  2. Department of Neurology, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA

    Peter W. Kaplan MBBS

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Edwards, J.C., Gomez-Hassan, D.M., Bonilha, L. (2018). Imaging in Status Epilepticus. In: Drislane, F., Kaplan MBBS, P. (eds) Status Epilepticus. Current Clinical Neurology. Springer, Cham. https://doi.org/10.1007/978-3-319-58200-9_6

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  • DOI: https://doi.org/10.1007/978-3-319-58200-9_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-58198-9

  • Online ISBN: 978-3-319-58200-9

  • eBook Packages: MedicineMedicine (R0)

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