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• Vol.56 No.7
• CLINICA NEUROL, 56: 472−476, 2016
• Vol.56 No.7 contents

Case Report

A case of complex partial seizure with reversible MRI abnormalities in the elderly

Nobuko Shiraiwa, M.D., Ph.D.¹⁾²⁾, Takashi Hosaka, M.D.²⁾⁴⁾, Tsuyoshi Enomoto, M.D., Ph.D.³⁾, Sachiko Hoshino, M.D., Ph.D.²⁾, Akira Tamaoka, M.D., Ph.D.⁴⁾ and Norio Ohkoshi, M.D., PhD.¹⁾

¹⁾Course of Neurology, Department of Health, Faculty of Health Sciences, Tsukuba University of Technology
²⁾Department of Neurology, Tsukuba Memorial Hospital
³⁾Department of Cardiology, Tsukuba Memorial Hospital
⁴⁾Department of Neurology, Graduate School of Comprehensive Human Science, University of Tsukuba

A 79-year-old woman was admitted to our hospital because of prolonged impaired consciousness and right hemiparesis. She was treated for acute cerebral infarction because her brain magnetic resonance imaging showed extensive cortical lesions similar to acute infarction in diffusion weighted image, fluid attenuated inversion recovery, and T₂ weighted images. On the fifth day, she had a focal seizure on the right side. A new lesion during imaging and electroencephalogram abnormality were observed at that time. After the antiepileptic drug treatment was started, her right hemiparesis considered as ictal paresis, confusion, and the magnetic resonance imaging findings gradually improved. There was also an old, irreversible lesion in the left hippocampus, which was considered as the focus of her complex partial seizure. In the elderly, the post-ictal period of confusion, which occurs with complex partial seizure, may be prolonged. In our case, improvement of hemiparesis and confusion occurred after about 2 weeks.
Full Text of this Article in Japanese PDF (2153K)

(CLINICA NEUROL, 56: 472−476, 2016)
key words: epilepsy in the elderly, reversible magnetic resonance imaging lesions, ictal paresis

(Received: 3-Oct-15)