경련 중첩증 환자의 확산 강조 영상 소견: 2 증례 보고

Diffusion-Weighted Imaging Findings in Patients with Status Epilepticus: Report of Two Cases

  • Sung Il Jung (Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine) ;
  • Bae Ju Kweon (Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine) ;
  • Keon Ha Kim (Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine) ;
  • Moon Hee Han (Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine) ;
  • Kee-Hyun Chang (Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine)
  • 발행 : 2003.06.01

초록

저자들은 2명의 경련 중첩증 환자들의 확산강조 자기공명영상을 보고하고자 한다. 확산강조 영상은 대뇌 반구에서 세포독성 부종을 시사하는 현성확산계수의 감소가 동반된 국소적 또는 미만성 고신호강도를 보였다. 이러한 고신호강도는 한 환자에서는 양측 측두두정후두엽과 도피질, 다른환자에서는 편측성 측두엽에서 나타났다.

We present MR diffusion-weighted imaging (DWI) findings of status epilepticus in two patients. DWI showed a focal or diffuse hyperintensity with decreased apparent diffusion coefficient (ADC) value, indicating cytotoxic edema in th e cerebral hemispheric cortices. The hyperintensities were located in the bilateral temporoparietooccipital areas and insular cortex in one patient, and unilaterally in the temporal lobe in the other patient.

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