Yaffe K, Ferriero D, Barkovich A J, Rowley H
Department of Psychiatry, University of California, San Francisco 94143.
Neurology. 1995 Jan;45(1):104-8. doi: 10.1212/wnl.45.1.104.
We describe eight patients with reversible MRI changes following seizures. The patients were mostly young with a serious underlying medical problem; MRI abnormalities were localized primarily in the posterior vascular boundary zones. A likely mechanism for these lesions is edema secondary to disruption in the blood-brain barrier. Recognition of the transient radiologic changes may aid in the diagnostic and therapeutic management of seizures.
我们描述了8例癫痫发作后出现可逆性磁共振成像(MRI)改变的患者。这些患者大多年轻,伴有严重的基础疾病;MRI异常主要位于后循环血管边界区。这些病变的一个可能机制是血脑屏障破坏继发的水肿。认识到这些短暂的影像学改变可能有助于癫痫的诊断和治疗管理。