20-year-old male with progressive status epilepticus

Slides:

Advertisements

Similar presentations

63 year-old woman with subacute parkinsonism Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Advertisements

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology Neonatal Parechovirus Encephalitis: Typical MRI findings.

Diffuse Encephalitis Diagnosed on PET/CT Acquired in a Patient in Status Epilepticus with Negative MRI J Cain 1,2, J Hill 2, C Coutinho 2, S Mathur 2 1.

A 52-year old man with recently diagnosed HIV infection with irregular shaking of his hand Teaching NeuroImages Neurology Resident and Fellow Section ©

A 62-year-old man with progressive action tremor and a 74-year-old man with progressive ataxia Teaching NeuroImages Neurology Resident and Fellow Section.

84 year old woman with spells of right upper limb weakness and numbness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy.

Neurology Resident and Fellow Section 40 year old woman with left arm pain, numbness, and weakness Teaching NeuroImages © 2013 American Academy of Neurology.

A 43-year-old man with decreased consciousness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 14 year old male with headache and neck stiffness.

A 17-year-old girl with encephalomyelitis Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 54 year old man with progressive apathy and cognitive.

A 50 year old man with progressive tetraparesis and blindness Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

A 38-year-old patient with partial seizures Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

47-year-old with progressive upper limb weakness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology An unusual cause of conus medullaris syndrome.

A 30-year male with cognitive decline and unsteady gait Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology A 23 month old full term male with seizures.

68 year old man with aphasia and facial droop © 2014 American Academy of Neurology Teaching NeuroImages Neurology Resident and Fellow Section.

A 22 years old man with slow movements and mounding phenomenon © 2013 American Academy of Neurology Teaching NeuroImages Neurology Resident and Fellow.

Progressive fetal intracranial lesion Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section A 32-year-old woman presented with headaches, ataxia, diplopia © 2015 American Academy of Neurology.

A 4 Year Old Boy With Proptosis of Left Eye Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

A 71 year old man with rapid onset of anterograde amnesia Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.

“Now you see it...” A broadly-distributed ictal rhythm easily missed on bipolar montage. Teaching NeuroImages Neurology Resident and Fellow Section © 2014.

57 year-old man with confusion Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.

Epilepsy Management Linda C. Ramatowski, NP Sutter Neuroscience.

Patient with painful ophthalmoplegia after traffic accidents

Neurology Resident and Fellow Section

A 71-YEAR-OLD FEMALE WITH MULTIPLE CRANIAL NERVE PALSIES

Hemigeographic tongue following an acute ischemic stroke

Neurology Resident and Fellow Section

A 15 YEAR OLD BOY WITH AN ASCENDING SPASTIC PARALYSIS

55 year-old man with acute headache and dizziness Teaching NeuroImages Neurology Resident and Fellow Section David Yen-Ting Chen, MD Ying-Chi Tseng, MD.

A 22-year-old woman with progressive ataxia and feet dystonia

A 66 year-old woman with progressive speech difficulty

Neurology Resident and Fellow Section

A 9-year old girl with multi-compartmental intracranial hemorrhage

A 10 month old boy with macrocephaly

Resident and Fellow Section

Abnormal movements in an unconscious adult Teaching NeuroImages Neurology Resident and Fellow Section © 2018 American Academy of Neurology.

Tractography of Cortico-Ponto-Cerebellar Pathways

Which of the following statements is false about the EEG shown:

with headache and seizures

A 6 years old girl with progressive strabismus and vision loss

68-year-old patient with memory impairment

Images of a 60-year-old man (patient 5) with complex partial status epilepticus with secondary generalization as the initial presentation of seizure. Images.

Images of a 51-year-old woman (patient 8) with generalized tonicoclonic status epilepticus. Images of a 51-year-old woman (patient 8) with generalized.

Plasma exchange in cryptogenic new onset refractory status epilepticus

A 7 month old boy with Glutaric Aciduria and flexor spells

Teaching NeuroImages Neurology Resident and Fellow Section

Anti-NMDA receptor encephalitis presenting with imaging findings and clinical features mimicking Rasmussen syndrome Hansel Greiner, James L. Leach, Ki-Hyeong.

A 21 year old woman with frequent vomiting

Anti-NMDA receptor encephalitis presenting with imaging findings and clinical features mimicking Rasmussen syndrome Hansel Greiner, James L. Leach, Ki-Hyeong.

A 50-year-old man with progressive dysautonomia and leg stiffness

Figure 1 Coronal MRI images showing the evolution of white matter abnormality and atrophy of patient 1 Coronal MRI images showing the evolution of white.

Rasmussen's encephalitis: Experience from a developing country based on a group of medically and surgically treated patients K.N. Ramesha, B. Rajesh,

Infant with absence seizure- like episodes

A 74-year old woman with progressive amnesia

20 year old man with multiple strokes territories

Images of a 60-year-old woman (patient 7) with simple partial status epilepticus sustained for 5 days. Images of a 60-year-old woman (patient 7) with simple.

Teaching NeuroImages Neurology Resident and Fellow Section

Neuroimaging and macroscopic features.

Neurology Resident and Fellow Section

Evaluation and Management of Pediatric Seizures

Figure 2 Neuroimaging characteristics of TARDBP carriers

A 53-year-old male patient with temporal lobe epilepsy (case 31).

Images of a 2-year-old female patient (patient 6) with complex partial status epilepticus with secondary generalization. Images of a 2-year-old female.

Images of a 22-month-old male patient with severe left temporal lobe epilepsy that was recognized at age 9 months after bacterial meningitis at age 6 months.A.

Teaching NeuroImages Neurology Resident and Fellow Section

A 3-year-old boy with increased head circumference

Presentation transcript:

20-year-old male with progressive status epilepticus Teaching NeuroImages Neurology Resident and Fellow Section

Vignette Onset at age 15 with a single generalized tonic-clonic seizure. After 2 years seizure-free, patient experienced emergence of dyscognitive and hypermotor seizures. In the most recent 18 months, patient showed progressive pattern of complex- and simple-partial status epilepticus involving left extremities. Leiva-Salinas et al

Imaging Leiva-Salinas et al Coronal T1-weighted MRI from 2013 (A) and 2015 (B), show progressive cerebral atrophy, right more than left, most prominent in the striatum (arrows). Initial MRI from 2011 was normal. FDG-PET shows right hemispheric hypometabolism predominantly involving the striatum (C), and frontal and temporal lobes (blue regions, D). Leiva-Salinas et al

20-year-old male with progressive status epilepticus Diagnosis: Rasmussen Encephalitis. The characteristic findings of Rasmussen encephalitis are diffuse unilateral cerebral hypometabolism on FDG-PET with corresponding regions of brain atrophy on MRI, which is often progressive. FDG PET imaging may increase the diagnostic confidence in cases in which the MRI findings are subtle. 1. Villani F, Pincherle A, Antozzi C, et al. Adult-Onset Rasmussen’s Encephalitis: Anatomical-Electrographic-Clinical Features of 7 Italian Cases. Epilepsia 2006,47(Suppl 5):41–46. 2. Leach JP, Chadwick DW, Miles JB, Hart IK. Improvement in adult-onset Rasmussen’s encephalitis with long-term immunomodulatory therapy. Neurology 1999;52:738–742. Leiva-Salinas et al