Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0038220 (status epilepticus)
 7,272 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We report a 74-year-old man with gelastic seizure, simple visual hallucination, and adversive seizure. The patient described his visual hallucinations as "rotating light like a firefly" and "mimicking a stream". Brain CT scan showed a transient swelling as well as low density of a left parieto-occipital region. Electroencephalographic study revealed spikes and fast waves beginning at left occipital region. Although temporal lobe and hypothalamic lesions (especially hypothalamic hamartomas) are well known as origins of gelastic seizures, we could not find any report that described a series of occurrence of gelastic seizure and simple visual hallucination. Usually, simple visual hallucination is thought to occur in occipital lesion. In our case, it is possible that gelastic seizure and simple visual hallucination are related to the epileptic discharge from occipital lesion directly or indirectly. The reversible brain swelling with low density seen in the present case might be caused by cytotoxic edema due to status epilepticus.
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PMID:[An unusual case of epilepsy exhibiting gelastic seizure, simple visual hallucination, and transient swelling of the left parieto-occipital region]. 1082 96

We describe a 62-year-old woman suffering from visual hallucination due to focal status epilepticus investigated by means of Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Electroencephalography (EEG), and 99m Technetium ethylcysteinate dimer Single Photon Emission Computed Tomography (Tc-99m ECD SPECT). EEG showed spikes in the right parietooccipital area. MRI demonstrated gyral swelling and signal hyperintensity in the right parietooccipital cortex with effacement of adjacent cortical sulci on T2- weighted and Fluid Attenuation Inversion Recovery (FLAIR) images. MRA indicated localized dilation of the right posterior cerebral artery (PCA) and parietal branch of the right middle cerebral artery (MCA), corresponding to the epileptic area shown on EEG. Hyperperfusion in the right parietooccipital lobe was observed by Tc-99m ECD SPECT. All these findings completely resolved on the follow-up studies 2 months later. We present the case showing the transient radiological alterations on MRA corresponding to the epileptic area.
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PMID:Reversible focal radiological changes due to non-convulsive status epilepticus of the right parietooccipital lobe. 2354 19