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.