Delayed CSF enhancement associated with Todd’s paresis

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• 作者：Hiroyuki Uetani (1)
  Toshinori Hirai (1)
  Mika Kitajima (1)
  Shinya Shiraishi (1)
  Yoshinori Shigematsu (1)
  Koya Iwashita (1)
  Katsuhisa Uchino (2)
  Teruyuki Hirano (2)
  Yasuyuki Yamashita (1)
  
• 关键词：Todd’s paresis ; FLAIR ; Contrast enhancement ; MRI
• 刊名：Japanese Journal of Radiology
• 出版年：2012
• 出版时间：April 2012
• 年：2012
• 卷：30
• 期：3
• 页码：271-273
• 全文大小：228KB
• 参考文献：1. Gallmetzer P, Leutmezer F, Serles W, Assem-Hilger E, Spatt J, Baumgartner C. Postictal paresis in focal epilepsies–incidence, duration, and causes: a video-EEG monitoring study. Neurology. 2004;62:2160-.
  2. Bozzao A, Floris R, Fasoli F, Fantozzi LM, Colonnese C, Simonetti G. Cerebrospinal fluid changes after intravenous injection of gadolinium chelate: assessment by FLAIR MR imaging. Eur Radiol. 2003;13:592-. CrossRef
  3. Villalobos-Chavez F, Rodriguez-Uranga JJ, Sanz-Fernandez G. Sequential changes in magnetic resonance in a limbic status epilepticus. Rev Neurol. 2005;40:354-.
  4. Morris JM, Miller GM. Increased signal in the subarachnoid space on fluid-attenuated inversion recovery imaging associated with the clearance dynamics of gadolinium chelate: a potential diagnostic pitfall. AJNR Am J Neuroradiol. 2007;28:1964-. CrossRef
  5. Batra A, Latour LL, Ruetzler CA, Hallenbeck JM, Spatz M, Warach S, et al. Increased plasma and tissue MMP levels are associated with NCSFB and BBB disruption evident on post-contrast FLAIR after experimental stroke. J Cereb Blood Flow Metab. 2010;30:1188-9. CrossRef
  6. Ennis SR, Keep RF. The effects of cerebral ischemia on the rat choroid plexus. J Cereb Blood Flow Metab. 2006;26:675-3. CrossRef
  7. Romanic AM, White RF, Arleth AJ, Ohlstein EH, Barone FC. Matrix metalloproteinase expression increases after cerebral focal ischemia in rats: inhibition of matrix metalloproteinase-9 reduces infarct size. Stroke. 1998;29:1020-0. CrossRef
  8. Mathews VP, Caldemeyer KS, Lowe MJ, Greenspan SL, Weber DM, Ulmer JL. Brain: gadolinium-enhanced fast fluid-attenuated inversion-recovery MR imaging. Radiology. 1999;211:257-3.
  9. Mathews MS, Smith WS, Wintermark M, Dillon WP, Binder DK. Local cortical hypoperfusion imaged with CT perfusion during postictal Todd’s paresis. Neuroradiology. 2008;50:397-01. CrossRef
  10. Hiraki T, Fujiwara H, Sakurai J, Iguchi T, Gobara H, Tajiri N, et al. Nonfatal systemic air embolism complicating percutaneous CT-guided transthoracic needle biopsy: four cases from a single institution. Chest. 2007;132:684-0. CrossRef
  
• 作者单位：Hiroyuki Uetani (1)
  Toshinori Hirai (1)
  Mika Kitajima (1)
  Shinya Shiraishi (1)
  Yoshinori Shigematsu (1)
  Koya Iwashita (1)
  Katsuhisa Uchino (2)
  Teruyuki Hirano (2)
  Yasuyuki Yamashita (1)
  
  1. Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan
  2. Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  

文摘

We present a patient with Todd’s paresis who had undergone lung biopsy and who manifested increased signal intensity in the subarachnoid space of the right cerebral hemisphere on 10-h delayed enhanced fluid-attenuated inversion recovery images. We think that this was attributable to gadolinium leakage into the CSF due to increased leptomeningeal microvascular permeability in this patient with Todd’s paresis.