Presentation
Protracted seizures.
Patient Data
Age: Adult
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Postictal cortical restricted diffusion and edema
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Gyral high DWI signal and high T2 signal on the left, in the setting of protracted seizure activity probably represents post-ictal change.
Case Discussion
It is difficult to be certain that this merely represents postictal change, although this is most likely the case. Alternative diagnoses include encephalitis or even subacute ischemia. Demonstrating rapid resolution confirms the diagnosis (not available in this case).
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