Unilateral striatal damage following status epilepticus of ipsilateral frontal lobe origin

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Unilateral striatal damage following status epilepticus of ipsilateral frontal lobe origin

Morioka, Takato; Nishio, Shunji; Ikezaki, Kiyonobu; Inamura, Takanori; Kawamura, Tadao; Fukui, Kimiko

Seizure (London, England), 06/2002, Volume: 11, Issue: 4

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A 35-year-old man with an old contusional haematoma in the right frontal lobe developed status epilepticus (SE) of right frontal origin. On magnetic resonance (MR) images 10 days after SE, the right striatum showed signal enhancement with Gd-DTPA administration. Subsequent MR imaging 1 month later indicated prolonged T1 and T2 relaxation times in the right striatum. Prolonged seizure activity in the frontal lobe may have induced excitatory neurotoxicity in the ipsilateral striatum, with occurrence of delayed neuronal damage as a result.

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