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Hemispheric brain damage in unilateral status epilepticus

✍ Scribed by Dr Dov Soffer; Eldad Melamed; Yaakov Assaf; Shamay Cotev

Publisher: John Wiley and Sons
Year: 1986
Tongue: English
Weight: 823 KB
Volume: 20
Category: Article
ISSN: 0364-5134
DOI: 10.1002/ana.410200616

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✦ Synopsis

A 20-year-old woman with psychomotor seizures developed prolonged unilateral status epilepticus followed by coma, right hemiparesis, fever, liver failure, and eventually death. Neuropathological findings included severe neuronal ischemic cell change and massive brain edema, essentially restricted to the left cerebral hemisphere. Massive destruction of the hemisphere involved in epileptic activity with sparing of the contralateral hemisphere provides supportive evidence that in humans prolonged seizure activity can cause permanent brain damage.

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