KMID : 1103720130690020089
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Journal of the Korean Society of Radiology 2013 Volume.69 No. 2 p.89 ~ p.92
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Regional Cortical Hyperperfusion on Perfusion CT during Postictal Motor Deficit: A Case Report
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Baek Hye-Jin
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Abstract
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Postictal neurologic deficit is a well-known complication of focal or generalized seizures mimicking clinical manifestation of a stroke; however, it can be misdiagnosed as a stroke (1-3). Thus, in an acute setting, imaging studies are the most useful means for making the correct diagnosis (3). To our knowledge, there were a few reports of cortical hyperperfusion during postictal motor deficit in the literature. We report a patient who was presented with postictal right hemiparesis accompanied by perfusion and diffusion abnormalities in the left parietal cortical areas. Our case suggests that Todd¡¯s paralysis may reveal transient perfusion and diffusion abnormalities; this report can be helpful for making an accurate diagnosis in patients with acute neurologic deficits.
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KEYWORD
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Postictal, Todd¡¯s Paralysis, Perfusion CT, MR
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