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01-09-2019 | Subdural Hematoma | Neuro-Images

Bilateral fronto-insular FLAIR hyperintensities: discussion on a case of new-onset refractory status epilepticus

Authors: Aurelian Ungureanu, Lavinia Lita, Mihai Dragos Gorun, Mariano Musacchio, François Sellal

Published in: Acta Neurologica Belgica | Issue 3/2019

Excerpt

A 62-year-old man was admitted for focal refractory status epilepticus (SE) associated with fever preceded by psychotic episodes. He has a past history of schizophrenia controlled with aripiprazole. At arrival, he presented fluctuating episodes of unresponsiveness with intermittent right-side clonic movements and mild fever. Brain scan and spinal tap were unremarkable. Urinary infection was found and antibiotics were initiated, but hours later he developed prolonged right-side focal motor seizures and unresponsiveness. EEG evidenced 1 Hz generalised periodic discharges, with a frontal maximum. In spite of high doses of antiepileptic and coma-inducing drugs, the EEG showed continuous ictal and inter-ictal activity (Fig. 1). …

Gaspard N, Hirsch LJ, Sculier C, Loddenkemper T, van Baalen A, Lancrenon J et al (2018) New-onset refractory status epilepticus (NORSE) and febrile infection-related epilepsy syndrome (FIRES): state of the art and perspectives. Epilepsia 59(4):745–752. https://doi.org/10.1111/epi.14022 CrossRefPubMed

Meletti S, Slonkova J, Mareckova I, Monti G, Specchio N, Hon P et al (2015) Claustrum damage and refractory status epilepticus following febrile illness. Neurology 85(14):1224–1232. https://doi.org/10.1212/wnl0000000000001996 CrossRefPubMedPubMedCentral

Gaspard N, Foreman BP, Alvarez V, Cabrera Kang C, Probasco JC, Jongeling AC, Meyers E et al (2015) New-onset refractory status epilepticus: etiology, clinical features, and outcome. Neurology 85(18):1604–1613. https://doi.org/10.1212/WNL.0000000000001940 CrossRefPubMedPubMedCentral

Silva G, Jacob S, Meli C, Alves D, Costa D (2018) Claustrum sign in a child with refractory status epilepticus after febrile illness: why does it happen? Acta Neurol Belg 118:303. https://doi.org/10.1007/s13760-017-0820-9/ CrossRefPubMed

Meletti S, Giovannini G, d’Orsi G, Toran L, Monti G, Guha R et al (2017) New-onset refractory status epilepticus with claustrum damage: definition of the clinical and neuroimaging features. Front Neurol 8:111. https://doi.org/10.3389/fneur.2017.00111 CrossRefPubMedPubMedCentral

Hegen H, Uprimny C, Grams A, Virgolini I, Ramberger M, Beer R et al (2016) Bi-insular cortical involvement in anti-NMDA-receptor encephalitis—a case report. BMC Neurol. 16:130. https://doi.org/10.1186/s12883-016-0653-9 CrossRefPubMedPubMedCentral

Title: Bilateral fronto-insular FLAIR hyperintensities: discussion on a case of new-onset refractory status epilepticus
Authors: Aurelian Ungureanu
Lavinia Lita
Mihai Dragos Gorun
Mariano Musacchio
François Sellal
Publication date: 01-09-2019
Publisher: Springer International Publishing
Keywords: Subdural Hematoma
Status Epilepticus
Encephalitis
Published in: Acta Neurologica Belgica / Issue 3/2019
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-019-01141-3

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Bilateral fronto-insular FLAIR hyperintensities: discussion on a case of new-onset refractory status epilepticus

Excerpt

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

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