Case Notes
History
24 year old female presenting with episode of of sudden disconnection, staring, and unresponsiveness lasting 1-2 minutes.Exam
Coronal turbo spine-echo MR T2-w and axal MR flair sequences
Prior Study
CT Head not availableMR T1-w exam
There is evidence of bilateral hippocampal changes with symmetric tissue edema. The post contrast T1-w sequence demonstrates abnormal tissue hyperemia in the bodies of both hippocampi (likely related to post seizure dysautoregulation). The presence of bilateral, symmetric hippocampal edema plus abnormal contrast enhancement is indicative of a greater depth and duration seizure event. Correlate with T2-w sequences and MR diffusion for possible features of status epilepticus.