Updates in Refractory Status Epilepticus

Figure 6

Long-term effect of status epilepticus. A previously healthy young woman presented with a new-onset refractory status epilepticus originating from the left hemisphere. Her initial MRI scan showed bilateral hippocampal swelling with an increased signal on the coronal FLAIR image (white arrows in (a)). Due to prolonged refractory status epilepticus, she underwent acute palliative resective surgery with removal of her dominant epileptic foci in the left frontal and temporal lobes. A repeat MRI four months later ((b) coronal FLAIR image and (c) noncontrasted T1W) showed postsurgical changes on the left (black arrows in (b) and (c)) with marked atrophy of the right hippocampus (white arrows in (b) and (c)).

(a)

(b)

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