1. Clinical, electrophysiological and brain imaging features during recurrent ictal cortical blindness associated with chronic liver failure.
- Author
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van Pesch V, Hernalsteen D, van Rijckevorsel K, Duprez T, Boschi A, Ivanoiu A, and Sindic CJ
- Subjects
- Anticonvulsants therapeutic use, Blindness, Cortical drug therapy, Blindness, Cortical physiopathology, Brain Edema drug therapy, Brain Edema etiology, Brain Edema physiopathology, Chronic Disease, Electroencephalography, Fatal Outcome, Female, Hepatic Encephalopathy physiopathology, Humans, Magnetic Resonance Imaging, Middle Aged, Recurrence, Status Epilepticus drug therapy, Status Epilepticus physiopathology, Visual Cortex drug effects, Visual Cortex physiopathology, Blindness, Cortical etiology, Hepatic Encephalopathy complications, Liver Failure complications, Status Epilepticus complications
- Abstract
Transient neuroimaging features indicating primary cortical and secondary subcortical white matter cytotoxic oedema have been described in association with prolonged or intense seizures. We describe the unusual condition of recurrent ictal cortical blindness due to focal occipital status epilepticus, in the context of chronic hepatic failure. There was a close association between the onset and disappearance of clinical, electrophysiological and magnetic resonance imaging abnormalities.
- Published
- 2006