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CASE REPORT

Selective Neuronal Necrosis Associated with Status Epilepticus: MR Findings

Suleyman Mena, Donald H. Leea,b, Jane R. Barronb and David G. Muñozb

a From the Department of Radiology, University of Western Ontario 339 Windermere Road, P.O. Box 5339 London Ontario, Canada N6A 5A5; and the Department of Pathology, University of Western Ontario 339 Windermere Road, P.O. Box 5339 London Ontario, Canada N6A 5A5.
b Address reprint requests to Donal H. Lee, Departments of Radiology and Clinical Neurological Sciences, University of Western Ontario 339 Windermere Road, P.O. Box 5339 London Ontario, Canada N6A 5A5.

Summary: We present the MR imaging findings in an autopsy-proven case of selective neuronal necrosis involving the entire left cerebral hemispheric cortex, left thalamus, and contralateral cerebellum following a period of status epilepticus. Imaging findings include diffusion abnormality on diffusion-weighted images and increased intensity on T2-weighted images in the above-mentioned regions of the brain.




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