A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery image
Although the sulcal hyperintensity on fluid-attenuated inversion recovery (FLAIR) images is detected in some chronic subdural hematoma (CSDH) cases, its clinical significance remains determined. A 77-year-old man with symptomatic CSDH presented with generalized tonic-clonic seizures at 9 days after...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-09-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043319302377 |
| _version_ | 1818016260830527488 |
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| author | Sotaro Oshida, MD Yosuke Akamatsu, MD Yoshiyasu Matsumoto, MD Shinya Ishigame, MD Yasushi Ogasawara, MD Kenta Aso, MD Hiroshi Kashimura, MD |
| author_facet | Sotaro Oshida, MD Yosuke Akamatsu, MD Yoshiyasu Matsumoto, MD Shinya Ishigame, MD Yasushi Ogasawara, MD Kenta Aso, MD Hiroshi Kashimura, MD |
| author_sort | Sotaro Oshida, MD |
| collection | DOAJ |
| description | Although the sulcal hyperintensity on fluid-attenuated inversion recovery (FLAIR) images is detected in some chronic subdural hematoma (CSDH) cases, its clinical significance remains determined. A 77-year-old man with symptomatic CSDH presented with generalized tonic-clonic seizures at 9 days after surgery. 123I-iomazenil -single photon emission computed tomography revealed transient reduction in cortical benzodiazepine receptors binding potential at the region corresponding to that of the sulcal hyperintensity on FLAIR images. Findings of sulcal hyperintensity on FLAIR imaging under the CSDH may have a relation with the cause of epileptic seizure. Keywords: Chronic subdural hematoma, Symptomatic epilepsy, 123I-iomazenil, SPECT |
| first_indexed | 2024-04-14T07:09:48Z |
| format | Article |
| id | doaj.art-e9c49e1338024094868aafc7aa0b2e15 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-14T07:09:48Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-e9c49e1338024094868aafc7aa0b2e152022-12-22T02:06:28ZengElsevierRadiology Case Reports1930-04332019-09-0114911091112A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery imageSotaro Oshida, MD0Yosuke Akamatsu, MD1Yoshiyasu Matsumoto, MD2Shinya Ishigame, MD3Yasushi Ogasawara, MD4Kenta Aso, MD5Hiroshi Kashimura, MD6Department of Neurosurgery, Iwate Prefectural Chubu Hospital, 17-10 Murasakino, Kitakami, Iwate 024-8507, Kitakami, Iwate, JapanDepartment of Neurosurgery, Iwate Medical University School of Medicine, Morioka, Iwate, JapanDepartment of Neurosurgery, Iwate Prefectural Chubu Hospital, 17-10 Murasakino, Kitakami, Iwate 024-8507, Kitakami, Iwate, JapanDepartment of Neurosurgery, Iwate Prefectural Chubu Hospital, 17-10 Murasakino, Kitakami, Iwate 024-8507, Kitakami, Iwate, JapanDepartment of Neurosurgery, Iwate Prefectural Chubu Hospital, 17-10 Murasakino, Kitakami, Iwate 024-8507, Kitakami, Iwate, JapanDepartment of Neurosurgery, Iwate Prefectural Chubu Hospital, 17-10 Murasakino, Kitakami, Iwate 024-8507, Kitakami, Iwate, JapanDepartment of Neurosurgery, Iwate Prefectural Chubu Hospital, 17-10 Murasakino, Kitakami, Iwate 024-8507, Kitakami, Iwate, Japan; Corresponding author.Although the sulcal hyperintensity on fluid-attenuated inversion recovery (FLAIR) images is detected in some chronic subdural hematoma (CSDH) cases, its clinical significance remains determined. A 77-year-old man with symptomatic CSDH presented with generalized tonic-clonic seizures at 9 days after surgery. 123I-iomazenil -single photon emission computed tomography revealed transient reduction in cortical benzodiazepine receptors binding potential at the region corresponding to that of the sulcal hyperintensity on FLAIR images. Findings of sulcal hyperintensity on FLAIR imaging under the CSDH may have a relation with the cause of epileptic seizure. Keywords: Chronic subdural hematoma, Symptomatic epilepsy, 123I-iomazenil, SPECThttp://www.sciencedirect.com/science/article/pii/S1930043319302377 |
| spellingShingle | Sotaro Oshida, MD Yosuke Akamatsu, MD Yoshiyasu Matsumoto, MD Shinya Ishigame, MD Yasushi Ogasawara, MD Kenta Aso, MD Hiroshi Kashimura, MD A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery image Radiology Case Reports |
| title | A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery image |
| title_full | A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery image |
| title_fullStr | A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery image |
| title_full_unstemmed | A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery image |
| title_short | A case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid-attenuated inversion recovery image |
| title_sort | case of chronic subdural hematoma demonstrating the epileptic focus at the area with sulcal hyperintensity on fluid attenuated inversion recovery image |
| url | http://www.sciencedirect.com/science/article/pii/S1930043319302377 |
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