Sequential MRI Studies of a Patient with Complex Partial Status - a Case Report

複雜型部份癲癇重積狀態磁振造影表現－病例報告

張烈賓(Lei-Bin Chang) ； 凌憬峰(Jiing-Feng Lirng) ； 鄧木火(Michael Mu-Huo Teng) ； 張政彥(Chen-Yen Chang) ； 顏得楨(Der-Jen Yen) ； 姚俊興(Chun-Hing Yiu)

《The Kaohsiung Journal of Medical Sciences》 17卷12期 (2001/12) Pp. 633-637

https://doi.org/10.6452/KJMS.200112.0633

摘要

複雜型部份癲癇重積狀態在臨床上並不常見，其主因常是顳葉病灶所致。其臨床主要表現為意識障礙及大腦認知功能異常，腦電波檢查可顯示出特徵性的顳葉局部性棘波。磁振造影檢查能夠就其致病原因提供極有幫助的診斷，尤其是鑑別於顳葉內側之病灶。本文報告一位49歲女性患者，臨床診斷為病毒性腦炎合併複雜性型部分癲癇重積狀態，應用磁振造影檢查，就其急性期、亞急性期及慢性期之腦部影像表現予以討論。

並列摘要

Complex partial status (CPS), the status epilepticus of Coll1plex partial seizure, is rarely seen in clinical practice. The clinical presentations of CPS are characterized by confusion,slowness in response,together with stereotypic or complex automatisms and occasional secondary generalization. The electroencephalographic findings of CPS reveal characteristic focal epileptiform activities of mesial temporal region. Magnetic resonance image (MRI) is the imaging method of choice for studying epilepsy, particularly when focus is in the temporal lobe. We report a 49-year-old female with diagnosis of viral encephalitis and clinical presentation of CPS. We present the sequential brain MRI findings at acute, subacute and chronic stages of this patient.

並列關鍵字

complex partial status ； viral encephalitis ； magnetic resonance image (MRI)