Disappearing CT lesions in epilepsy.

R. K. Goulatia, Ashok Verma, N. K. Mishra, G. K. Ahuja

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

A striking but reversible computed tomographic (CT) lesion corresponding to seizure activity is reported in a series of 46 epileptic patients. None of these patients had evidence of tuberculosis or cysticercosis, and all were treated with antiepileptic drugs only. Maximal radiological changes occurred in the area of maximal epileptic discharge; however, multiple lesions were seen in three cases. The CT lesion reappeared with recurrence of the ictus in four cases during follow-up, and this, too, disappeared after complete arrest of the seizures. The clinical, CT scan, and other investigatory findings suggest that the seizures may occasionally cause a CT-demonstrable focal abnormality, probably cerebral edema, a consequence of abnormal vascular permeability. Awareness of this radiological entity should avoid misdiagnosis of cerebral tumor, infarction or tuberculoma in patients with seizure disorder.

Original languageEnglish (US)
Pages (from-to)523-527
Number of pages5
JournalEpilepsia
Volume28
Issue number5
StatePublished - Sep 1987
Externally publishedYes

Fingerprint

Epilepsy
Seizures
Tuberculoma
Cysticercosis
Brain Edema
Cerebral Infarction
Capillary Permeability
Diagnostic Errors
Anticonvulsants
Tuberculosis
Recurrence
Neoplasms

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Goulatia, R. K., Verma, A., Mishra, N. K., & Ahuja, G. K. (1987). Disappearing CT lesions in epilepsy. Epilepsia, 28(5), 523-527.

Disappearing CT lesions in epilepsy. / Goulatia, R. K.; Verma, Ashok; Mishra, N. K.; Ahuja, G. K.

In: Epilepsia, Vol. 28, No. 5, 09.1987, p. 523-527.

Research output: Contribution to journalArticle

Goulatia, RK, Verma, A, Mishra, NK & Ahuja, GK 1987, 'Disappearing CT lesions in epilepsy.', Epilepsia, vol. 28, no. 5, pp. 523-527.
Goulatia RK, Verma A, Mishra NK, Ahuja GK. Disappearing CT lesions in epilepsy. Epilepsia. 1987 Sep;28(5):523-527.
Goulatia, R. K. ; Verma, Ashok ; Mishra, N. K. ; Ahuja, G. K. / Disappearing CT lesions in epilepsy. In: Epilepsia. 1987 ; Vol. 28, No. 5. pp. 523-527.
@article{f5eccec60b904fc697729e2189bdd876,
title = "Disappearing CT lesions in epilepsy.",
abstract = "A striking but reversible computed tomographic (CT) lesion corresponding to seizure activity is reported in a series of 46 epileptic patients. None of these patients had evidence of tuberculosis or cysticercosis, and all were treated with antiepileptic drugs only. Maximal radiological changes occurred in the area of maximal epileptic discharge; however, multiple lesions were seen in three cases. The CT lesion reappeared with recurrence of the ictus in four cases during follow-up, and this, too, disappeared after complete arrest of the seizures. The clinical, CT scan, and other investigatory findings suggest that the seizures may occasionally cause a CT-demonstrable focal abnormality, probably cerebral edema, a consequence of abnormal vascular permeability. Awareness of this radiological entity should avoid misdiagnosis of cerebral tumor, infarction or tuberculoma in patients with seizure disorder.",
author = "Goulatia, {R. K.} and Ashok Verma and Mishra, {N. K.} and Ahuja, {G. K.}",
year = "1987",
month = "9",
language = "English (US)",
volume = "28",
pages = "523--527",
journal = "Epilepsia",
issn = "0013-9580",
publisher = "Wiley-Blackwell",
number = "5",

}

TY - JOUR

T1 - Disappearing CT lesions in epilepsy.

AU - Goulatia, R. K.

AU - Verma, Ashok

AU - Mishra, N. K.

AU - Ahuja, G. K.

PY - 1987/9

Y1 - 1987/9

N2 - A striking but reversible computed tomographic (CT) lesion corresponding to seizure activity is reported in a series of 46 epileptic patients. None of these patients had evidence of tuberculosis or cysticercosis, and all were treated with antiepileptic drugs only. Maximal radiological changes occurred in the area of maximal epileptic discharge; however, multiple lesions were seen in three cases. The CT lesion reappeared with recurrence of the ictus in four cases during follow-up, and this, too, disappeared after complete arrest of the seizures. The clinical, CT scan, and other investigatory findings suggest that the seizures may occasionally cause a CT-demonstrable focal abnormality, probably cerebral edema, a consequence of abnormal vascular permeability. Awareness of this radiological entity should avoid misdiagnosis of cerebral tumor, infarction or tuberculoma in patients with seizure disorder.

AB - A striking but reversible computed tomographic (CT) lesion corresponding to seizure activity is reported in a series of 46 epileptic patients. None of these patients had evidence of tuberculosis or cysticercosis, and all were treated with antiepileptic drugs only. Maximal radiological changes occurred in the area of maximal epileptic discharge; however, multiple lesions were seen in three cases. The CT lesion reappeared with recurrence of the ictus in four cases during follow-up, and this, too, disappeared after complete arrest of the seizures. The clinical, CT scan, and other investigatory findings suggest that the seizures may occasionally cause a CT-demonstrable focal abnormality, probably cerebral edema, a consequence of abnormal vascular permeability. Awareness of this radiological entity should avoid misdiagnosis of cerebral tumor, infarction or tuberculoma in patients with seizure disorder.

UR - http://www.scopus.com/inward/record.url?scp=0023405607&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023405607&partnerID=8YFLogxK

M3 - Article

C2 - 3653055

AN - SCOPUS:0023405607

VL - 28

SP - 523

EP - 527

JO - Epilepsia

JF - Epilepsia

SN - 0013-9580

IS - 5

ER -