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CASE REPORT
Unilateral brain oedema related to focal status epilepticus
  1. Noura Abdulwahid Ali1,
  2. Sudhir Kumar Palat Chirakkara2,
  3. Jagan Jinna Reddy3,
  4. Shobhit Sinha2
  1. 1Department of Internal Medicine, Mafraq Hospital, Abu Dhabi, United Arab Emirates
  2. 2Neurology Department, Mafraq Hospital, Abu Dhabi, United Arab Emirates
  3. 3Radiology Department, Mafraq Hospital, Abu Dhabi, United Arab Emirates
  1. Correspondence to Dr Noura Abdulwahid Ali, nali{at}mafraqhospital.ae

Summary

We present a female patient in her late 30s, with baseline vegetative state following prior traumatic brain injury, who presented with prolonged right hemispheric status epilepticus. The neuroimaging revealed a striking right-sided pancortical oedema with left (crossed) cerebellar diaschisis and dilation of right hemispheric arteries. EEG was concordant and showed nearly continuous right hemispheric seizure discharges with suppressed background. Infective and vascular aetiologies were ruled out. The patient showed clinical and electrographic improvement following treatment with antiepileptic drugs. Unilateral cerebral oedema is a rare presentation of focal status epilepticus, and should be considered as a differential diagnosis in the appropriate clinical scenario.

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