PMC4307871_01
Axial views of diffusion-weighted MRI and 99mTc-hexamethylpropylene amine oxime-single photon emission computed tomography (HMPAO-SPECT) almost at the same level while the patient exhibited left hemiplegia. The cranial MRI shows slightly high intensity in the right posterior quadrant (arrows). HMPAO-SPECT demonstrates marked high blood flow in the right parieto-temporo-occipital area delineating the symptomatogenic zone.
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Cranial diffusion-weighted MRI demonstrated slightly high intensity in the right posterior quadrant (Fig. 1), which did not indicate cerebral infarction in terms of signal intensity and distribution. Electroencephalography recorded while she had left hemiplegia demonstrated continuous epileptiform discharges located mainly in the right parieto-occipital areas and occasionally evolving to the right central area, indicative of focal non-convulsive status epilepticus (Fig. 2). 99mTc-hexamethylpropylene amine oxime-single photon emission computed tomography showed markedly high blood perfusion in the right parieto-temporo-occipital areas (Fig. 1).
Electroencephalography recorded at Day 2 while the patient exhibited left hemiplegia without convulsion. Note continuous epileptiform discharges mainly in the right parieto-occipital area.
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Electroencephalography recorded while she had left hemiplegia demonstrated continuous epileptiform discharges located mainly in the right parieto-occipital areas and occasionally evolving to the right central area, indicative of focal non-convulsive status epilepticus (Fig. 2). 99mTc-hexamethylpropylene amine oxime-single photon emission computed tomography showed markedly high blood perfusion in the right parieto-temporo-occipital areas (Fig. 1).