Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
CASE REPORTS
Application of arterial spin labeling for diagnosing nonconvulsive status epilepticus in an emergency
Takaaki NakanoMasaaki TakemotoSachie TsukadaTatsu NakanoYuichi KawabataManami MiyazakiHironori InamuraTomoya Asaga
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2016 Volume 23 Issue 6 Pages 651-654

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Abstract
Status epilepticus is often nonconvulsive and its clinical findings include disturbance of consciousness. There is no standard diagnostic criteria for nonconvulsive status epilepticus (NCSE), and diagnosis is based on abnormal electroencephalographic findings consistent with clinical findings. Focal lesions of convulsive status epilepticus with increased perfusion were recently well depicted by arterial spin labeling (ASL). Herein, we reported a case of NCSE showing focal luxury perfusion on ASL. In the patient, ASL clearly revealed the focal hyperperfusion area. After appropriate anticonvulsant treatment, clinical symptoms completely resolved. Our data suggests that ASL can be used as a secondary diagnostic tool in an emergency, when electroencephalography is not possible.
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© 2016 The Japanese Society of Intensive Care Medicine
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