Affiliations: Department of Radiology, Tokyo-Kita Social Insurance
Hospital, Tokyo, Japan | Department of Healthcare Economics and Quality
Management, Graduate School of Medicine, The University of Kyoto, Kyoto,
Japan | Department of Radiology, Graduate School of Medicine,
The University of Tokyo, Tokyo, Japan | Department of Pediatric, Tokyo-Kita Social Insurance
Hospital, Tokyo, Japan
Note: [] Correspondence: Takeshi Nojo, M.D., MPH., Department of
Radiology, Tokyo-Kita Social Insurance Hospital, 4-17-56 Akabanedai, Kita-ku,
Tokyo 115-0053, Japan. Tel.: +81 3 5963 6676; Fax: +81 3 5963 6678; E-mail:
t-nojo@gc4.so-net.ne.jp
Abstract: Diffusion-weighted magnetic resonance images and brain blood
perfusion scintigraphy are useful tools in identifying the cause of cerebral
lesions. We report serial simultaneous diffusion-weighted magnetic resonance
images and brain blood perfusion scintigraphy of
hemiconvulsion-hemiplegia-epilepsy syndrome. In this case, the involved
hemisphere revealed high intensity on diffusion-weighted images and slight
hyperperfusion on brain blood perfusion scintigraphy 7 days after the seizure.
Accordingly, neurotoxic, rather than ischemic, cellular edema might be the
cause of hemiconvulsion-hemiplegia-epilepsy syndrome in the acute phase.
