Recurrent Occipital Seizures with Transient MRI Changes
Peri-ictal magnetic resonance imaging (MRI) findings following seizure activity are a recognized phenomenon that is not well understood (Cole, 2004). Transient changes are not usually expected to be present in postictal MRI studies because of their rarity. Here, we present a unique case of peri-icta...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/6061879 |
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| author | Mohankumar Kurukumbi Allison Jacobs |
| author_facet | Mohankumar Kurukumbi Allison Jacobs |
| author_sort | Mohankumar Kurukumbi |
| collection | DOAJ |
| description | Peri-ictal magnetic resonance imaging (MRI) findings following seizure activity are a recognized phenomenon that is not well understood (Cole, 2004). Transient changes are not usually expected to be present in postictal MRI studies because of their rarity. Here, we present a unique case of peri-ictal MRI findings located in the occipital lobe, present in a 34-year-old female with recurrent occipital seizures occurring twice in four years. MRI changes completely resolved after both episodes with no residual focal damage. The peri-ictal occipital changes on MRI in this patient are unique because they have been captured on more than one occasion. Peri-ictal MRI findings are a known phenomenon with unknown pathophysiology, although attempts have been made to understand these findings. Though the MRI findings and presentation appear to be stroke-like or PRES-like, seizures should be kept in the differential for better treatment outcomes. |
| format | Article |
| id | doaj-art-70e969dd826a42069a25c8fd727b9e16 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-70e969dd826a42069a25c8fd727b9e162025-02-03T01:21:12ZengWileyCase Reports in Neurological Medicine2090-66682090-66762017-01-01201710.1155/2017/60618796061879Recurrent Occipital Seizures with Transient MRI ChangesMohankumar Kurukumbi0Allison Jacobs1Department of Neurology, Inova Fairfax Hospital, Falls Church, VA, USADepartment of Neurology, Inova Fairfax Hospital, Falls Church, VA, USAPeri-ictal magnetic resonance imaging (MRI) findings following seizure activity are a recognized phenomenon that is not well understood (Cole, 2004). Transient changes are not usually expected to be present in postictal MRI studies because of their rarity. Here, we present a unique case of peri-ictal MRI findings located in the occipital lobe, present in a 34-year-old female with recurrent occipital seizures occurring twice in four years. MRI changes completely resolved after both episodes with no residual focal damage. The peri-ictal occipital changes on MRI in this patient are unique because they have been captured on more than one occasion. Peri-ictal MRI findings are a known phenomenon with unknown pathophysiology, although attempts have been made to understand these findings. Though the MRI findings and presentation appear to be stroke-like or PRES-like, seizures should be kept in the differential for better treatment outcomes.http://dx.doi.org/10.1155/2017/6061879 |
| spellingShingle | Mohankumar Kurukumbi Allison Jacobs Recurrent Occipital Seizures with Transient MRI Changes Case Reports in Neurological Medicine |
| title | Recurrent Occipital Seizures with Transient MRI Changes |
| title_full | Recurrent Occipital Seizures with Transient MRI Changes |
| title_fullStr | Recurrent Occipital Seizures with Transient MRI Changes |
| title_full_unstemmed | Recurrent Occipital Seizures with Transient MRI Changes |
| title_short | Recurrent Occipital Seizures with Transient MRI Changes |
| title_sort | recurrent occipital seizures with transient mri changes |
| url | http://dx.doi.org/10.1155/2017/6061879 |
| work_keys_str_mv | AT mohankumarkurukumbi recurrentoccipitalseizureswithtransientmrichanges AT allisonjacobs recurrentoccipitalseizureswithtransientmrichanges |