Stone J L, Hughes J R, Barr A, Tan W, Russell E, Crowell R M
Neurosurgery. 1986 Feb;18(2):212-6. doi: 10.1227/00006123-198602000-00019.
A patient with medically intractable status epilepticus of temporal lobe origin is presented. A computed tomogram showed a low density area adjacent to the midbrain, possibly related to atrophy of the medial temporal lobe. Cerebral angiography revealed early filling veins and an anterior temporal blush. Magnetic resonance (MR) scanning (T2 weighted images) showed increased signal intensity in the region of the amygdala and anterolateral left temporal lobe. Ictal activity was recorded from scalp electrodes over the left temporal area, and many paroxysms were recorded from cortical surface electrodes. An anterior temporal lobectomy revealed only gliosis. The cerebral blood flow changes accompanying status epilepticus of focal origin are reviewed, and a possible relation of electroencephalographic, angiographic, and MR findings is discussed.
本文报告了一名患有医学上难以治疗的颞叶起源癫痫持续状态的患者。计算机断层扫描显示中脑附近有一个低密度区域，可能与内侧颞叶萎缩有关。脑血管造影显示早期充盈静脉和颞前 blush。磁共振（MR）扫描（T2加权图像）显示杏仁核和左颞叶前外侧区域信号强度增加。从左颞区头皮电极记录到发作期活动，从皮质表面电极记录到许多阵发活动。颞前叶切除术仅显示胶质增生。回顾了局灶性起源癫痫持续状态伴随的脑血流变化，并讨论了脑电图、血管造影和MR表现之间可能的关系。
