Hyperdensity on CT After Seizure: A Pitfall

Author:

Hussain Bangash I.1,Kandt Raymond S.1,D'Souza Bernard J.1,Heinz Ralph2

Affiliation:

1. Department of Pediatrics, Division of Pediatric Neurology Duke University Medical Center, Durham, NC

2. Department of Radiology Duke University Medical Center, Durham, NC

Abstract

A 12-year-old boy had a hyperdense area corresponding to a gyral pattern on an enhanced CT brain scan within 12 hours of his last seizure. The hyperdense area disappeared on a subsequent enhanced CT scan after he was seizure free for about 48 hours. The hyperdense area was in a location (mesial frontal lobe) predicted by the interictal physical exam findings and the seizure type recorded on video-EEG monitoring. We postulate that the CT abnormality was due to transitory increase of regional cerebral blood flow and vascular permeability. ( J Child Neurol 1987;2:276-278).

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

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